Active NPI 1073540209 Individual Practitioner Male Practitioner

Todd A Wallace , PA-C

Physician Assistant • Durham, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Todd Wallace, PA-C is a certified Physician Assistant practicing in Durham, NC. With approximately 30 years of clinical experience since completing medical education in 1996, Todd Wallace delivers high-quality medical care to the local community at 3643 N ROXBORO ST.

Todd Wallace maintains professional affiliations with Duke Health Integrated Practice Inc, Carolina Quickcare Family Practice, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first, critical care, detection test by immunoassay with direct visual observation for influenza virus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3643 N Roxboro St

Durham, NC 277042702

Telephone 9194704000

Fax 9194707392

Associated Practice Facility / Clinic

🏢 Duke University Health System, Inc. Facility NPI 1871592113

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Durham, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +19.5 yrs vs City Avg

City Avg: 10.5 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

515 Specialists

Practicing in Durham, NC (9374 Statewide)

Telehealth Adoption Rate

21.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (30 Years) 30 Yrs

Durham Specialty Average (10.5 Years) 10.5 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
99291 Critical care, first 30-74 minutes	50	35	$863.00	$168.35
99292 Critical care, each additional 30 minutes	32	13	$385.00	$84.60
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	12	$30.83	$16.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$312.77	$133.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$238.00	$88.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$219.50	$102.24
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	12	12	$192.00	$40.55
81003 Automated urinalysis test	11	11	$15.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	42	37	$863.00	$172.88
99292 Critical care, each additional 30 minutes	29	12	$385.00	$86.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	73	49	$863.00	$177.11
36620 Insertion of artery tube for blood sampling or infusion through skin	22	22	$374.00	$36.69
99292 Critical care, each additional 30 minutes	22	15	$385.00	$90.11
76937 Ultrasonic guidance for blood vessel access	21	16	$95.00	$11.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$329.00	$91.67
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$229.00	$74.41
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	16	16	$199.63	$40.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	237	116	$863.00	$180.97
99292 Critical care, each additional 30 minutes	73	40	$424.29	$91.65
76937 Ultrasonic guidance for blood vessel access	45	34	$95.00	$11.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	25	$174.00	$59.35
36620 Insertion of artery tube for blood sampling or infusion through skin	30	29	$374.00	$37.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	17	$250.00	$83.55
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	17	16	$728.00	$70.76
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$194.31	$72.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$234.85	$92.66
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	13	13	$132.46	$35.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$438.73	$138.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	82	75	$778.16	$178.87
99292 Critical care, each additional 30 minutes	63	43	$361.89	$93.35
76937 Ultrasonic guidance for blood vessel access	47	36	$120.53	$11.89
36620 Insertion of artery tube for blood sampling or infusion through skin	30	30	$308.57	$36.69
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	18	18	$677.50	$68.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$175.00	$89.35
99239 Hospital discharge day management, more than 30 minutes	15	15	$250.07	$89.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	116	107	$863.00	$179.74
99292 Critical care, each additional 30 minutes	53	40	$385.00	$91.14
76937 Ultrasonic guidance for blood vessel access	42	33	$95.00	$12.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$175.00	$88.63
36620 Insertion of artery tube for blood sampling or infusion through skin	25	25	$374.00	$37.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$270.00	$133.96
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	18	18	$728.00	$71.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$176.00	$88.00
81003 Automated urinalysis test	11	11	$9.00	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	92	85	$863.00	$181.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	53	$175.00	$84.49
99292 Critical care, each additional 30 minutes	51	36	$385.00	$91.84
76937 Ultrasonic guidance for blood vessel access	36	28	$95.00	$11.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$176.00	$87.68
36620 Insertion of artery tube for blood sampling or infusion through skin	20	20	$374.00	$35.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$270.00	$134.02
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	18	15	$728.00	$81.27
81003 Automated urinalysis test	13	13	$9.00	$2.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	81	77	$863.00	$183.60
99292 Critical care, each additional 30 minutes	54	43	$385.00	$92.05
76937 Ultrasonic guidance for blood vessel access	35	34	$95.00	$11.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$175.00	$87.46
36620 Insertion of artery tube for blood sampling or infusion through skin	26	26	$374.00	$42.86
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	17	17	$728.00	$100.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$270.00	$133.90

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 102437

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.

Hospital & Practice Group Affiliations

Duke Health Integrated Practice Inc

40 Duke Medicine Cir, Durham, NC 277104000

Phone: 9196848111

Carolina Quickcare Family Practice, Pllc

2265 Nc Hwy 24 27 E, Biscoe, NC 272099758

Phone: 9198281131

Carolina Quickcare Family Practice, Pllc

4612 Main St, Shallotte, NC 284704452

Phone: 9104442970

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Nathan Andrews , DPT

Physical Therapist

NPI 1013718865

Doctor of Physical Therapy

John Curtiss

Internal Medicine

NPI 1023402997

Dr. Elena Hart , MD

Physical Medicine & Rehabilitation

NPI 1023559275

Doctor of Medicine (M.D.)

Jacob Hollenbeck

Nurse Anesthetist, Certified Registered

NPI 1033571724

Ray Luu

Physician Assistant

NPI 1033868484

Ashley Mcgee , PA-C

Physician Assistant - Medical

NPI 1043868565

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 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2016

Registered at 3643 N ROXBORO ST, DURHAM, NC 277042702 (Tel: 9194704000)

📍

Updated Business Mailing Address February 17, 2016

Registered at 611 GRAVEL BROOK CT, CARY, NC 275196009 (Tel: 2628834133)

👤

Provider Name / Credentials Updated February 17, 2016

Recorded as TODD WALLACE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2016

Physician Assistant (License #102437 in NC)

🟢

Initial NPI Registration & Enumeration June 26, 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: 1073540209

Entity Type:

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

Enumeration Date: June 26, 2006

Last Update: February 17, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

611 Gravel Brook Ct

Cary, NC 275196009

Phone: 2628834133

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.