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Active NPI 1720014624 Individual Practitioner Male Practitioner

Ray L Wallace , PA

Physician Assistant • Savannah, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ray Wallace, PA is a certified Physician Assistant practicing in Savannah, GA. With approximately 49 years of clinical experience since completing medical education in 1977, Ray Wallace delivers high-quality medical care to the local community at 4425 PAULSEN ST.

Ray Wallace is affiliated with Chatham Orthopaedic Associates Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4425 Paulsen St

Savannah, GA 314053662

Telephone 9123556615
Fax 9123510645
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Savannah, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
49 Yrs +38.9 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
247 Specialists

Practicing in Savannah, GA (4726 Statewide)

Telehealth Adoption Rate
6.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (49 Years) 49 Yrs
Savannah Specialty Average (10.1 Years) 10.1 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
470 61 $15.00 $0.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
168 103 $105.00 $43.43
20610 Aspiration and/or injection of fluid from large joint
154 72 $203.31 $57.14
99213 Established patient office or other outpatient visit, typically 15 minutes
60 58 $196.00 $69.23
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose
50 14 $256.00 $72.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
41 41 $243.00 $88.98
72110 X-ray of lower and sacral spine, minimum of 4 views
31 31 $139.00 $38.15
73030 X-ray of shoulder, minimum of 2 views
25 23 $97.76 $26.59
73562 X-ray of knee, 3 views
24 18 $134.33 $30.13
72050 X-ray of upper spine, 4 or 5 views
11 11 $145.00 $36.98

Medical Specialties & State Licenses

CMS Verified: 2021-02-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 000935

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
203066747B (GA)
Medicaid State Provider ID
203066747A (GA)

Hospital & Practice Group Affiliations

Chatham Orthopaedic Associates Pa

4425 Paulsen St, Savannah, GA 314053662

Chatham Orthopaedic Associates Pa

4425 Paulsen St, Savannah, GA 314053637

Chatham Orthopaedic Associates Pa

4425 Paulsen St, Savannah, GA 314053637

Chatham Orthopaedic Associates Pa

1203 Gandy Dancer, Richmond Hill, GA 313248895

Phone: 9123556615

Chatham Orthopaedic Associates Pa

4425 Paulsen St, Savannah, GA 314053637

Phone: 9123545100

Chatham Orthopaedic Associates Pa

4425 Paulsen St, Savannah, GA 314053662

Phone: 9123556615

Secondary Practice Locations

101 St Josephs Candler Dr Fl 1

Pooler, GA 313229579

Phone: 9123556615

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Dmitri Sofianos , MD

Orthopaedic Surgery

NPI 1013155092

Doctor of Medicine (M.D.)

NPI 1013628346

Physical Therapist, Doctor of Physical Therapy

Charmaine Pham , NP

Nurse Practitioner - Family

NPI 1023410586

Nurse Practitioner

Jason Miller , PA

Physician Assistant

NPI 1023544111

Physician Assistant

Kristin Latham

Nurse Practitioner - Family

NPI 1053044784
Dr. Matthew Griffith , MD

Orthopaedic Surgery

NPI 1093196180

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 23, 2021

Registered at 4425 PAULSEN ST, SAVANNAH, GA 314053662 (Tel: 9123556615)

📍
Updated Business Mailing Address February 23, 2021

Registered at 4425 PAULSEN ST, SAVANNAH, GA 314053662 (Tel: 9123556615)

NPI Profile Active December 18, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2009

Registered at 210 E. DERENNE AVENUE, SAVANNAH, GA 31405 (Tel: 9126445300)

📍
Updated Business Mailing Address December 18, 2009

Registered at 210 E. DERENNE AVENUE, SAVANNAH, GA 31405 (Tel: 9126445300)

👤
Provider Name / Credentials Updated December 18, 2009

Recorded as RAY WALLACE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2009

Physician Assistant (License #000935 in GA)

🟢
Initial NPI Registration & Enumeration June 23, 2006

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: 1720014624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2006
Last Update: February 23, 2021
Sole Proprietor: No

Mailing Address

4425 Paulsen St

Savannah, GA 314053662

Phone: 9123556615

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.