DR. COREY J WALLACH (MD) – Orthopaedic Surgery of the Spine Physician, NPI 1417923863

DR. COREY J WALLACH (MD) is a healthcare provider. based in Alexandria, Virginia. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 0101241156 (VA). The NPI Number for DR. COREY J WALLACH (MD) is 1417923863

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. COREY J WALLACH (MD)
NPI
1417923863
Phone
(703) 892-6500
Address
2501 Parkers Ln Ste 200
Enumeration Date
27 February 2006
Last Update Date
19 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
6709823420
Group Practice PAC ID
2264331263
Professional Enrollment ID
I20070806000801
Address ID
VA222063605AR2800XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Digital endpointsOther names

843 ORTHOPEDIC SURGERY in VA

Provider Addresses for DR. COREY J WALLACH (MD)

  • 2501 Parkers Ln Ste 200

    Alexandria, VA 223063209

    Phone: (703) 892-6500

    Fax: (703) 521-3415

    Type: Location

  • 10716 Richmond Hwy Ste 100

    Lorton, VA 220792644

    Phone: (703) 892-6500

    Type: Location

  • 2800 S SHIRLINGTON RD STE 1100

    ARLINGTON, VA 222063605

    Phone: (703) 892-6500

    Fax: (703) 892-1550

    Type: Location

  • 2445 Army Navy Drive

    The Anderson Clinic

    Arlington, VA 22206

    Phone: (703) 892-6500

    Fax: (703) 892-1550

    Type: Location

  • 2445, Army Navy Drive, Long Branch Creek, Shirlington, Arlington, Arlington County, Virginia, 22206, United States

    THE ANDERSON CLINIC

    ARLINGTON, VA 22206

    Phone: (703) 892-6500

    Fax: (703) 892-1550

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $13,009.

Total Amount is formed as General ($13,009) + Research ($0) + Ownership ($0) = $13,009.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($12,888).

Total Amount

$13,009

General + Research + Ownership

Payments

55

Total payment records

General Amount

$13,009

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070806000801IOrthopedic SurgeryDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes598463$0
99213Established patient office or other outpatient visit, 20-29 minutes502376$0
72100X-ray of lower and sacral spine, 2-3 views245137$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level150108$0
99204New patient office or other outpatient visit, 45-59 minutes100100$0
View full utilization report →

Insurance plans in this area (ZIP 22306)

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Provider's Procedures

DR. COREY J WALLACH (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYVA22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments3232

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264331263View full group profile
NameSpecialtyState
-VA
Physician AssistantVA
Orthopedic SurgeryTX
Orthopedic SurgeryVA
Orthopedic Surgery, Sports MedicineVA
Physician AssistantVA
Orthopedic SurgeryVA
-VA
Physician AssistantVA
Orthopedic SurgeryPA

Reviews

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Frequently asked questions

What is the standard ID for DR. COREY J WALLACH (MD) in the U.S.?
In the U.S., DR. COREY J WALLACH (MD) is identified by NPI 1417923863.
Quick check: is DR. COREY J WALLACH (MD) active?
Public NPPES data shows DR. COREY J WALLACH (MD) with an active NPI status right now.
What services align with DR. COREY J WALLACH (MD)'s listing?
DR. COREY J WALLACH (MD)'s public classification highlights Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. COREY J WALLACH (MD)?
DR. COREY J WALLACH (MD) is associated with Alexandria, Virginia in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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