NPPES file of Aug 9, 2026

Amanda Fraser Wallace, MD

Pain Medicine (Anesthesiology) Physician · Golden, CO

Amanda Fraser Wallace, MD is a pain medicine (anesthesiology) physician with a practice address in Golden, Colorado, and NPI 1174750707, issued on Jun 22, 2009. Check the license (Colorado 0052096, as entered in NPPES) on the Colorado Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1174750707
Name
Amanda Fraser Wallace
Credential
MD
Primary taxonomy
Pain Medicine (Anesthesiology) Physician 207LP2900X
License numbers
0052096 CO
DR0052096 CO
Self-reported in NPPES; status is on the state search
Practice location
755 Heritage RD, Golden, CO 80401
Phone
(303) 277-0700
Enumerated
Jun 22, 2009
Record last updated
Jan 7, 2019 (not updated in 7 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20131231000606); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 755 Heritage RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Emmanuela AgwuFamily Nurse Practitioner1982062337
  2. Robert Moghim, M.D.Pain Medicine (Anesthesiology) Physician1245282862
  3. Hortense Ngoe, FNPFamily Nurse Practitioner1063943611
  4. Rachael PassafaroMedical Physician Assistant1073986980

Verify Amanda Fraser Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersColorado Medical Board
    Search for license 0052096
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Colorado license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The MIPS final score for 2023 (Medicare payment program): 97.6 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score86.5
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $59.41

3 payments; by number, the most common kind was food and beverage; the largest payer was Otsuka America Pharmaceutical, Inc. The 2,789 providers of this specialty with any payment received $3,225.41 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Amanda Wallace$59.41
  2. Specialty average$3,225.41

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Select Physical Therapy OF West Denver Limited PartnershipDenver, CO
  2. Yampa Valley Medical CenterSteamboat Spr, CO

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Amanda Fraser Wallace among 67 pain medicine (anesthesiology) physician records in Colorado

Amanda Fraser Wallace, MD is one of 67 pain medicine (anesthesiology) physician records with a practice address in Colorado. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 70% of them.

  • NPI issued2009 · 70% of these records are older, 27% newer
  • In a Medicare fileYes · 72% of these records are
  • In the CMS Doctors and Clinicians fileYes · 69% of these records are
  • Graduated2009 · median 2003 among the 46 with a school on file
  • Record last updated2019 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207LP2900X and a Colorado practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pain Medicine (Anesthesiology) Physician providers in Colorado

There are 67 pain medicine (anesthesiology) physician records in Colorado.

The 8 pain medicine (anesthesiology) physician records with the nearest ZIP codes

  1. Daniel Bennett, M.D, DABPMGolden, CO 804011255355467
  2. Daniel Drennan, M.D.Golden, CO 804011932387966
  3. Donna Mitchell, M.D.Golden, CO 804011396726436
  4. Robert Moghim, M.D.Golden, CO 804011245282862
  5. Melody Denham, M.D.Boulder, CO 803041154486165
  6. Robert Silverman, M.DFort Collins, CO 805251881759199
  7. Charles Sisson, MDFort Collins, CO 805281699717181
  8. Ravi Bhalodia, M.D.Loveland, CO 805381548550551

Common questions

What is Amanda Fraser Wallace, MD's NPI number?

Amanda Fraser Wallace, MD's National Provider Identifier (NPI) is 1174750707, issued on Jun 22, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Amanda Fraser Wallace, MD located?

The NPPES record lists a practice address at 755 Heritage RD, Golden, CO, 80401. Phone: (303) 277-0700. Providers update this record themselves, so call before visiting.

How can I verify Amanda Fraser Wallace, MD's license?

NPPES lists Colorado license number 0052096, as entered by the provider. Search the Colorado Medical Board at https://dpo.colorado.gov/Medical. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Amanda Fraser Wallace, MD's MIPS final score?

The 2023 MIPS final score is 97.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.