Active NPI 1518233931 Individual Practitioner Female Practitioner

Leah Gynell Wallace , PA-C

Physician Assistant • Madison, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Leah Wallace, PA-C is a certified Physician Assistant practicing in Madison, CT. With approximately 14 years of clinical experience since completing medical education in 2012, Leah Wallace delivers high-quality medical care to the local community at 1347 BOSTON POST RD.

Leah Wallace is affiliated with Hartford Healthcare Urgent Care Centers Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1347 Boston Post Rd
Suite 106

Madison, CT 064433475

Telephone 2037795207

Fax 2037795792

Associated Practice Facility / Clinic

🏢 Madison Eye Care Llc Facility NPI 1144235847

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Madison, CT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +2.5 yrs vs City Avg

City Avg: 11.5 Yrs

State Avg: 11.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Madison, CT (2065 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (14 Years) 14 Yrs

Madison Specialty Average (11.5 Years) 11.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	521	165	$175.00	$94.59
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	283	134	$200.00	$65.88
99213 Established patient office or other outpatient visit, typically 15 minutes	136	131	$350.00	$83.01
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	71	71	$250.00	$116.95
99306 Initial nursing facility visit, typically 45 minutes per day	58	58	$260.00	$158.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$375.00	$101.93
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	37	36	$90.00	$40.55
81003 Automated urinalysis test	28	28	$30.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	119	61	$175.00	$95.33
99213 Established patient office or other outpatient visit, typically 15 minutes	75	72	$247.88	$81.64
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	42	29	$200.00	$67.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$375.00	$100.82
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	14	13	$90.00	$38.08
81003 Automated urinalysis test	13	13	$30.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	150	149	$143.00	$80.79
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	14	14	$65.00	$50.76
87086 Bacterial colony count, urine	12	12	$27.00	$7.93
81002 Urinalysis, manual test	12	12	$12.00	$3.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$210.00	$117.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	42	$141.38	$84.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$207.84	$120.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	67	$199.07	$101.06
99442 Telephone medical discussion with physician, 11-20 minutes	25	25	$90.00	$70.43
99441 Telephone medical discussion with physician, 5-10 minutes	23	23	$60.00	$42.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	93	$181.00	$100.38
81002 Urinalysis, manual test	18	18	$12.00	$3.41
87086 Bacterial colony count, urine	14	14	$26.00	$8.79
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$121.73	$68.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	64	$122.00	$66.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$181.00	$98.11
81002 Urinalysis, manual test	16	16	$12.00	$3.41
87086 Bacterial colony count, urine	13	13	$26.00	$9.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	64	$122.00	$66.35
81002 Urinalysis, manual test	15	15	$12.00	$3.43

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CT 002731

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

008039969 (CT)

Hospital & Practice Group Affiliations

Hartford Healthcare Urgent Care Centers Llc

656 New Haven Ave, Derby, CT 064182528

Phone: 4752812502

Hartford Healthcare Urgent Care Centers Llc

1315 Main St, Willimantic, CT 062261931

Phone: 8605768771

Hartford Healthcare Urgent Care Centers Llc

1061 W Main St, Branford, CT 064053430

Phone: 8602078942

Hartford Healthcare Urgent Care Centers Llc

336 N Main St, West Hartford, CT 061172675

Phone: 8602007701

Hartford Healthcare Urgent Care Centers Llc

2335 Dixwell Ave, Hamden, CT 065142100

Phone: 2038007174

Hartford Healthcare Urgent Care Centers Llc

385 W Main St, Avon, CT 060014357

Phone: 8607776977

Hartford Healthcare Urgent Care Centers Llc

40 Fenn Rd, Newington, CT 061112212

Phone: 8607771283

Hartford Healthcare Urgent Care Centers Llc

752 Washington St, Middletown, CT 064572904

Phone: 8606135377

Hartford Healthcare Urgent Care Centers Llc

175 Webster Square Rd, Berlin, CT 060372328

Phone: 8602008095

Hartford Healthcare Urgent Care Centers Llc

79 Washington Ave, North Haven, CT 064731704

Phone: 4754804260

Hartford Healthcare Urgent Care Centers Llc

1025 Silas Deane Hwy, Wethersfield, CT 061094223

Phone: 8606962400

Hartford Healthcare Urgent Care Centers Llc

875 E Main St, Meriden, CT 064506006

Phone: 4753433483

Hartford Healthcare Urgent Care Centers Llc

1008 S Main St, Cheshire, CT 064103420

Phone: 4752446051

Hartford Healthcare Urgent Care Centers Llc

68 Division St, Derby, CT 064181447

Phone: 4752281005

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Sarah Orlando , PA-C

Physician Assistant

NPI 1316164858

Physician Assistant (Certified)

Jessica Paulson , PA-C

Physician Assistant

NPI 1366799587

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 25, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 25, 2015

Registered at 1347 BOSTON POST RD, SUITE 106, MADISON, CT 064433475 (Tel: 2037795207)

📍

Updated Business Mailing Address February 25, 2015

Registered at 28 CRESCENT ST, SUITE 106, MIDDLETOWN, CT 064573654 (Tel: 8603584820)

👤

Provider Name / Credentials Updated February 25, 2015

Recorded as LEAH WALLACE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2015

Physician Assistant (License #002731 in CT)

🟢

Initial NPI Registration & Enumeration March 29, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518233931

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 29, 2012

Last Update: February 25, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

28 Crescent St, Suite 106

Middletown, CT 064573654

Phone: 8603584820

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.