Active NPI 1497894117 Individual Practitioner Female Practitioner

Philly Marie Wall , PA

Physician Assistant • Cedar Rapids, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Philly Wall, PA is a certified Physician Assistant practicing in Cedar Rapids, IA. With approximately 20 years of clinical experience since completing medical education in 2006, Philly Wall delivers high-quality medical care to the local community at 830 4TH AVE SE STE 1.

Philly Wall is affiliated with Iowa Physicians Clinic Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, established patient outpatient office visit, remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

830 4th Ave Se Ste 1

Cedar Rapids, IA 524032445

Telephone 3193638121

Associated Practice Facility / Clinic

🏢 Iowa Physicians Clinic Medical Foundation Facility NPI 1134293327

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cedar Rapids, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +8.1 yrs vs City Avg

City Avg: 11.9 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

59 Specialists

Practicing in Cedar Rapids, IA (1543 Statewide)

Telehealth Adoption Rate

8.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wall (20 Years) 20 Yrs

Cedar Rapids Specialty Average (11.9 Years) 11.9 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
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	484	53	$145.51	$49.24
99213 Established patient office or other outpatient visit, typically 15 minutes	231	151	$168.92	$71.21
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	230	27	$127.17	$35.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	149	$238.38	$100.37
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	197	30	$112.74	$38.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	154	154	$301.59	$101.16
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	84	28	$110.79	$37.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	79	12	$3.00	$0.96
G0008 Administration of influenza virus vaccine	39	39	$58.00	$29.94
90662 Influenza vaccine split virus, preservative free	37	37	$98.00	$81.82
96127 Assessment of emotional or behavioral problems	36	24	$71.00	$4.03
36415 Insertion of needle into vein for collection of blood sample	34	32	$9.00	$8.65
90480 Admn sarscov2 vacc 1 dose	31	26	$62.84	$39.93
91322 Sarscov2 vac 50 mcg/0.5ml im	31	26	$296.84	$151.46
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	23	22	$38.96	$13.00
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	18	11	$92.22	$30.97
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	13	13	$22.08	$5.54
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$396.85	$289.25
G0009 Administration of pneumococcal vaccine	13	13	$58.00	$29.94
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$384.27	$129.43

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	271	167	$242.53	$100.67
99213 Established patient office or other outpatient visit, typically 15 minutes	191	120	$171.54	$70.49
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	174	61	$144.00	$49.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	144	144	$299.00	$101.22
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	78	31	$124.44	$38.04
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	44	22	$112.00	$38.17
G0008 Administration of influenza virus vaccine	36	36	$57.50	$28.57
90662 Influenza vaccine split virus, preservative free	34	34	$91.00	$71.63
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	33	33	$43.00	$14.44
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	21	19	$23.00	$5.62
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	20	20	$392.00	$281.68
G0009 Administration of pneumococcal vaccine	20	20	$55.00	$28.57
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	15	13	$109.00	$37.36
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$383.00	$130.60

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	231	136	$244.00	$101.88
99213 Established patient office or other outpatient visit, typically 15 minutes	201	132	$172.00	$72.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	104	104	$311.00	$104.41
G0008 Administration of influenza virus vaccine	24	24	$50.00	$27.38
90662 Influenza vaccine split virus, preservative free	23	23	$85.00	$68.54
0124A Fee covid-19 vac 13 res	17	17	$80.00	$36.31
G0009 Administration of pneumococcal vaccine	17	17	$50.00	$27.56
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	14	14	$27.00	$5.41
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$467.00	$279.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	320	319	$43.46	$16.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	164	$228.00	$104.44
99213 Established patient office or other outpatient visit, typically 15 minutes	184	128	$160.00	$73.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	93	93	$290.00	$104.56
G0008 Administration of influenza virus vaccine	32	32	$49.00	$15.89
90662 Influenza vaccine split virus, preservative free	31	31	$78.00	$65.12
0003A Adm sarscov2 30mcg/0.3ml 3rd	29	29	$80.00	$37.36
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	15	13	$26.00	$5.84
G0009 Administration of pneumococcal vaccine	13	12	$49.00	$15.89
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$150.00	$125.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$99.00	$45.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	197	124	$141.00	$58.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	134	$207.00	$87.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	73	73	$276.00	$92.93
99442 Telephone medical discussion with physician, 11-20 minutes	28	26	$141.00	$59.88
G0008 Administration of influenza virus vaccine	23	23	$48.00	$15.72
90662 Influenza vaccine split virus, preservative free	18	18	$86.00	$60.98
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	17	17	$25.00	$7.64
G0009 Administration of pneumococcal vaccine	15	15	$48.00	$15.70
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$135.00	$119.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	210	129	$141.00	$58.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	122	$207.00	$85.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$276.00	$90.72
G0008 Administration of influenza virus vaccine	36	36	$48.00	$15.01
90662 Influenza vaccine split virus, preservative free	29	29	$86.00	$52.91
G0009 Administration of pneumococcal vaccine	17	17	$48.00	$14.53
99496 Transitional care management services for problem of high complexity	12	11	$550.00	$183.89
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	11	11	$25.00	$7.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	251	162	$132.98	$57.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	88	$199.62	$85.05
G0008 Administration of influenza virus vaccine	47	47	$48.00	$18.94
90662 Influenza vaccine split virus, preservative free	38	38	$81.89	$50.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$209.00	$92.77
99496 Transitional care management services for problem of high complexity	14	14	$545.00	$185.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	332	185	$125.00	$57.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	111	$190.00	$84.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$184.00	$91.51
G0008 Administration of influenza virus vaccine	32	32	$32.00	$23.27
90662 Influenza vaccine split virus, preservative free	30	30	$47.00	$45.78
99496 Transitional care management services for problem of high complexity	23	22	$468.00	$182.97
G0009 Administration of pneumococcal vaccine	21	21	$32.00	$23.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$86.00	$34.24
90670 Pneumococcal vaccine for injection into muscle	15	15	$308.00	$185.76

Medical Specialties & State Licenses

CMS Verified: 2026-06-23

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IA 001778

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

0188946 (IA)

Hospital & Practice Group Affiliations

Iowa Physicians Clinic Medical Foundation

2375 Edgewood Rd Sw, Cedar Rapids, IA 524044736

Phone: 3193961983

Iowa Physicians Clinic Medical Foundation

4480 Utica Ridge Rd, Bettendorf, IA 527221644

Iowa Physicians Clinic Medical Foundation

4480 Utica Ridge Rd, Bettendorf, IA 527221637

Phone: 5637425950

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Matthew Gray , MD

Family Medicine

NPI 1053398982

Doctor of Medicine (M.D.)

Dr. Clete Younger , MD

Family Medicine

NPI 1063647071

Doctor of Medicine (M.D.)

Janelle Ullrich

Physician Assistant - Medical

NPI 1306371158

Dr. John Roof , MD

Family Medicine

NPI 1306825922

Doctor of Medicine (M.D.)

Laurice Edualaine Higham , MSN, ARNP, FNP-C

Nurse Practitioner - Family

NPI 1619675576

Master of Science in Nursing, Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Certified)

Dr. Brian Lindo , MD

Family Medicine

NPI 1871571273

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 02, 2016

Registered at 830 4TH AVE SE STE 1, CEDAR RAPIDS, IA 524032445 (Tel: 4026506765)

📍

Updated Business Mailing Address February 02, 2016

Registered at 830 4TH AVE SE STE 1, CEDAR RAPIDS, IA 524032445 (Tel: 4026506765)

👤

Provider Name / Credentials Updated February 02, 2016

Recorded as PHILLY WALL, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2016

Physician Assistant (License #001778 in IA)

🟢

Initial NPI Registration & Enumeration February 06, 2007

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: 1497894117

Entity Type:

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

Enumeration Date: February 06, 2007

Last Update: June 23, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

830 4th Ave Se Ste 1

Cedar Rapids, IA 524032445

Phone: 3193638121

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

⚠️ Medical Disclaimer

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