Active NPI 1417326984 Individual Practitioner Female Practitioner

Kristina Marie Wallace , PA-C

Physician Assistant • Grants Pass, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kristina Wallace, PA-C is a certified Physician Assistant practicing in Grants Pass, OR. With approximately 11 years of clinical experience since completing medical education in 2015, Kristina Wallace delivers high-quality medical care to the local community at 537 UNION AVE.

Kristina Wallace is affiliated with Peacehealth Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal or exploration of parathyroid glands, established patient outpatient office visit, new 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

537 Union Ave
Second Floor

Grants Pass, OR 975275543

Telephone 5414796777

Associated Practice Facility / Clinic

🏢 App Urology Clinic Facility NPI 1124472246

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Grants Pass, OR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +2.5 yrs vs City Avg

City Avg: 8.5 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

42 Specialists

Practicing in Grants Pass, OR (2106 Statewide)

Telehealth Adoption Rate

11.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (11 Years) 11 Yrs

Grants Pass Specialty Average (8.5 Years) 8.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
60500 Removal or exploration of parathyroid glands	15	15	$501.49	$126.27

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	13	13	$283.08	$88.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	43	$188.69	$59.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$276.94	$90.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$276.32	$89.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$418.77	$136.41
99239 Hospital discharge day management, more than 30 minutes	12	12	$272.83	$89.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$269.00	$89.72
99213 Established patient office or other outpatient visit, typically 15 minutes	65	62	$180.00	$60.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$411.00	$130.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$266.00	$89.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$269.00	$88.15
99213 Established patient office or other outpatient visit, typically 15 minutes	71	64	$180.00	$60.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$411.00	$135.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$340.00	$113.52

Medical Specialties & State Licenses

CMS Verified: 2020-06-08

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA174747

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

Peacehealth Medical Group

4010 Aerial Way, Eugene, OR 974029757

Phone: 6132724978

Peacehealth Medical Group

3377 Riverbend Dr, Springfield, OR 974778800

Phone: 5412226000

Peacehealth Medical Group

3333 Riverbend Dr, Springfield, OR 974778800

Phone: 5412226000

Peacehealth Medical Group

3355 Riverbend Dr, Springfield, OR 974778800

Phone: 5412222402

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Megan Frost , MD

Surgery

NPI 1255533550

Doctor of Medicine (M.D.)

Samuel Mcreynolds , PA-C

Physician Assistant - Surgical

NPI 1902832652

Physician Assistant (Certified)

Dr. Aaron Martin , DO

Surgery

NPI 1932374808

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address June 08, 2020

Registered at 1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 986838004 (Tel: 3607291253)

✅

NPI Profile Active September 15, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 15, 2015

Registered at 537 UNION AVE, SECOND FLOOR, GRANTS PASS, OR 975275543 (Tel: 5414796777)

📍

Updated Business Mailing Address September 15, 2015

Registered at 302 GLENN AVE, NORMAL, IL 617613649 (Tel: 3095302992)

👤

Provider Name / Credentials Updated September 15, 2015

Recorded as KRISTINA WALLACE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2015

Physician Assistant (License #PA174747 in OR)

🟢

Initial NPI Registration & Enumeration September 15, 2015

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: 1417326984

Entity Type:

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

Enumeration Date: September 15, 2015

Last Update: June 08, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1115 Se 164th Ave Dept 358

Vancouver, WA 986838004

Phone: 3607291253

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.