Physician

Gary Wayne Wallace, M.D.

According to 2025 Medicare claims, Gary Wallace, M.D. (NPI: 1144335290) practices ophthalmology in the Idaho Falls, ID market, with the plurality of this provider's patient population coming from Bonneville, ID. This provider's primary affiliated billing organization is CENTER FOR SIGHT PLLC (NPI: 1861567919; TIN: 82-0491612) and primary practice location at 83404-7552.

Wallace's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 746 traditional Medicare patients, billed 2,620 HCPCS/CPT codes, and received $165,699 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,394 prescription claims across 348 beneficiaries totaling $55,309 in drug costs, led by Lumigan (Bimatoprost). Open Payments data shows 1 records totaling $31. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $278,959 to $165,699. Concurrently, Part D prescription costs have changed little. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$139K$279K2015 Medicare payment: $278,959 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $270,681 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $234,398 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $194,120 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $196,475 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $167,496 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $233,489 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $192,586 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $187,618 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $165,699 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,0173,887$278,959
20169903,981$270,681
20179223,414$234,398
20188632,584$194,120
20198082,451$196,475
20209252,878$167,496
20211,0093,981$233,489
20228692,919$192,586
20238412,606$187,618
20247462,620$165,699

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$39K$77K2015 Drug cost: $77,472 (USD; Tot_Drug_Cst)2016 Drug cost: $68,401 (USD; Tot_Drug_Cst)2017 Drug cost: $76,005 (USD; Tot_Drug_Cst)2018 Drug cost: $54,543 (USD; Tot_Drug_Cst)2019 Drug cost: $59,224 (USD; Tot_Drug_Cst)2020 Drug cost: $49,753 (USD; Tot_Drug_Cst)2021 Drug cost: $75,216 (USD; Tot_Drug_Cst)2022 Drug cost: $68,004 (USD; Tot_Drug_Cst)2023 Drug cost: $69,611 (USD; Tot_Drug_Cst)2024 Drug cost: $55,309 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153001,311$77,472
20163331,479$68,401
20173351,545$76,005
20182891,148$54,543
2019269953$59,224
2020281909$49,753
20213621,581$75,216
20223911,816$68,004
20233801,741$69,611
20243481,394$55,309

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more187237$87
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more586885$59
92083Exam of visual field with extended testing193216$42
92134Imaging of retina152158$26
92133Imaging of optic nerve159168$24

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LumiganBimatoprost261,378$12,187
Prednisolone AcetatePrednisolone Acetate3047,448$7,726
Loteprednol EtabonateLoteprednol Etabonate15476$2,713
Ketorolac TromethamineKetorolac Tromethamine1694,068$2,675
LatanoprostLatanoprost28618,316$2,432

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$31Alcon Vision LLC
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Gary Wayne Wallace, M.D.?

Tedicare shows public-source Medicare data for Gary Wayne Wallace, M.D. (NPI 1144335290), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Gary Wayne Wallace, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Gary Wayne Wallace, M.D.?

Gary Wayne Wallace, M.D. is linked to CENTER FOR SIGHT PLLC (billing NPI 1861567919) in the available physician profile data.

Does Gary Wayne Wallace, M.D. have Open Payments data?

Gary Wayne Wallace, M.D. has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.