Active NPI 1265613855 Individual Practitioner Male Practitioner

Scott Arthur Wallace , PA-C

Physician Assistant • Durham, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Scott Wallace, PA-C is a certified Physician Assistant practicing in Durham, NC. With approximately 19 years of clinical experience since completing medical education in 2007, Scott Wallace delivers high-quality medical care to the local community at 3643 N ROXBORO ST.

Scott Wallace is affiliated with Wake Emergency Physicians Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. 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 Regional Hospital Emergency Department

Durham, NC 277042702

Telephone 9194705345

Associated Practice Facility / Clinic

🏢 Duke University Health System, Inc. Facility NPI 1871592113

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Durham, NC

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +8.5 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

85.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (19 Years) 19 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
99285 Emergency department visit for life threatening or functioning severity	50	50	$938.00	$138.80
99284 Emergency department visit with moderate level of medical decision making	23	23	$636.00	$95.93
99291 Critical care, first 30-74 minutes	13	13	$1205.00	$168.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	34	34	$938.00	$140.32
99284 Emergency department visit with moderate level of medical decision making	34	34	$636.00	$98.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	39	39	$938.00	$146.89
99284 Emergency department visit with moderate level of medical decision making	34	33	$636.00	$101.20
99283 Emergency department visit with low level of medical decision making	16	16	$335.00	$59.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	50	50	$938.00	$148.35
99284 Emergency department visit with moderate level of medical decision making	33	33	$636.00	$102.69
99283 Emergency department visit with low level of medical decision making	20	20	$335.00	$60.43
99291 Critical care, first 30-74 minutes	11	11	$1205.00	$182.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	54	54	$636.00	$100.05
99285 Emergency department visit for life threatening or functioning severity	50	50	$938.00	$145.82
99283 Emergency department visit with low level of medical decision making	27	26	$335.00	$54.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	52	49	$636.00	$97.00
99285 Emergency department visit for life threatening or functioning severity	41	40	$938.00	$141.73
99283 Emergency department visit with low level of medical decision making	35	34	$335.00	$51.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	45	45	$570.00	$94.77
99283 Emergency department visit with low level of medical decision making	38	38	$330.00	$51.06
99285 Emergency department visit for life threatening or functioning severity	16	16	$834.00	$142.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	56	55	$570.00	$96.83
99285 Emergency department visit for life threatening or functioning severity	41	41	$834.00	$142.93
99283 Emergency department visit with low level of medical decision making	33	33	$330.00	$51.04
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	25	25	$59.00	$7.01

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 0010-01140

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

Wake Emergency Physicians Pa

10000 Falls Of Neuse Rd, Raleigh, NC 276147838

Phone: 9193501300

Wake Emergency Physicians Pa

3000 New Bern Ave, Raleigh, NC 276101231

Phone: 9193508000

Wake Emergency Physicians Pa

8001 T W Alexander Dr, Raleigh, NC 276178768

Phone: 9193509600

Wake Emergency Physicians Pa

2460 Curtis Ellis Dr, Rocky Mount, NC 278042237

Phone: 2529628000

Practice Associates & Co-Workers

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

18 Associated Practitioners

Dr. Lydia Mitchell , MD

Emergency Medicine

NPI 1013270487

Doctor of Medicine (M.D.)

Dr. Rebecca Rich , MD

Internal Medicine

NPI 1013982792

Doctor of Medicine (M.D.)

Dr. Ronald Mclear , MD

Emergency Medicine

NPI 1083689756

Doctor of Medicine (M.D.)

Audrey O'briant , RN, LME, EMT-P

Registered Nurse - Emergency

NPI 1124906573

Registered Nurse, LME, EMTP

Dr. Edward Lamay , MD

Emergency Medicine

NPI 1174598809

Doctor of Medicine (M.D.)

Douglas Lane , PA-C

Physician Assistant

NPI 1255529558

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 June 18, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 18, 2012

Registered at 3643 N ROXBORO ST, DURHAM REGIONAL HOSPITAL EMERGENCY DEPARTMENT, DURHAM, NC 277042702 (Tel: 9194705345)

📍

Updated Business Mailing Address June 18, 2012

Registered at PO BOX 15133, DURHAM, NC 277040133 (Tel: 9194705345)

👤

Provider Name / Credentials Updated June 18, 2012

Recorded as SCOTT WALLACE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2012

Physician Assistant (License #0010-01140 in NC)

🟢

Initial NPI Registration & Enumeration November 25, 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: 1265613855

Entity Type:

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

Enumeration Date: November 25, 2007

Last Update: June 18, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 15133

Durham, NC 277040133

Phone: 9194705345

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.