Physician

Thomas Evans Wallace, MD

According to 2025 Medicare claims, Thomas Wallace, MD (NPI: 1306882725) practices family practice in the Williamsport, PA market, with the plurality of this provider's patient population coming from Lycoming, PA. This provider's primary affiliated billing organization is FAMILY PRACTICE CENTER, PC (NPI: 1154376937; TIN: 231919008) and primary practice location at 17702-6727. Wallace is affiliated with the Keystone ACO (ACO ID: A1552) and The Accountable Care Organization, Ltd. (ACO ID: A2098), participating under the MSSP model.

Wallace's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 611 traditional Medicare patients, billed 10,102 HCPCS/CPT codes, and received $408,654 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 8,582 prescription claims across 448 beneficiaries totaling $871,013 in drug costs, led by Eliquis (Apixaban). DME data shows 36 claims. Open Payments data shows 132 records totaling $3,249. 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 moved sharply higher in recent years, from $111,944 to $408,654. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and declined steadily, from $28,691 to $7,846.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	276	2,903	$111,944
2016	318	3,588	$131,930
2017	338	4,285	$163,583
2018	407	5,144	$199,332
2019	312	4,391	$167,368
2020	311	4,911	$175,021
2021	304	4,890	$185,909
2022	502	5,820	$250,809
2023	714	13,331	$551,968
2024	611	10,102	$408,654

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	371	11,819	$791,096
2016	405	12,203	$796,422
2017	457	13,251	$817,804
2018	490	12,967	$838,167
2019	510	11,436	$897,927
2020	508	10,421	$817,053
2021	500	10,100	$852,099
2022	493	9,760	$898,336
2023	552	9,354	$961,225
2024	448	8,582	$871,013

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	75	538	$25,109
2016	63	436	$14,253
2017	57	357	$8,514
2018	49	404	$8,114
2019	82	354	$6,022
2020	95	347	$8,664
2021	22	181	$5,180
2022	14	189	$9,447
2023	13	133	$7,130
2024	N/R	36	$1,211

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	391	391	$122
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	506	817	$77
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	319	518	$53
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	351	586	$11
36415	Insertion of needle into vein for collection of blood sample	296	428	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	154	7,417	$138,605
Ozempic	Semaglutide	69	3,074	$94,150
Jardiance	Empagliflozin	52	3,780	$71,611
Trulicity	Dulaglutide	58	2,072	$70,059
Mounjaro	Tirzepatide	44	1,242	$44,811

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0745	Neuromuscular stimulator, electronic shock unit	Y	N/R	17	$1,028
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	19	$183

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	132	$3,249	INTUITIVE SURGICAL, INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Thomas Evans Wallace, MD?

Tedicare shows public-source Medicare data for Thomas Evans Wallace, MD (NPI 1306882725), 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 Thomas Evans Wallace, MD have ACO affiliation data?

Thomas Evans Wallace, MD is shown with ACO affiliation data for Keystone ACO (MSSP, ACO ID A1552) and The Accountable Care Organization, Ltd. (MSSP, ACO ID A2098).

What billing organization is linked to Thomas Evans Wallace, MD?

Thomas Evans Wallace, MD is linked to FAMILY PRACTICE CENTER, PC (billing NPI 1154376937) in the available physician profile data.

Does Thomas Evans Wallace, MD have Open Payments data?

Thomas Evans Wallace, MD has 132 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.