Cedric Charles Wallace, PA-C
Physician Assistant · Freeport, NY
Cedric Charles Wallace, PA-C is a physician assistant with a practice address in Freeport, New York, and NPI 1891946240, issued on Oct 3, 2008. Check the license (New York 012591, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Cedric Charles Wallace
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 012591 NY
Self-reported in NPPES; status is on the state search - Practice location
- 20 Coolidge PL, Freeport, NY 11520
- Phone
- (516) 779-5996
- Enumerated
- Oct 3, 2008
- Record last updated
- Apr 2, 2021 (not updated in 5 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 15,555 in New York → Look up another NPI →
Verify Cedric Charles Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 012591Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
95% fewer Medicare Part D claims than the average physician assistant in 2024
43 Medicare Part D claims for 37 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Cedric Charles Wallace among 15,555 physician assistant records in New York
Cedric Charles Wallace, PA-C is one of 15,555 physician assistant records with a practice address in New York. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 20% of them.
- NPI issued2008 · 20% of these records are older, 77% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileNo · 52% of these records are
- Record last updated2021 · 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 363A00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
12 physician assistant records list a practice address in Freeport
They are 12 of the 679 NPPES records with a practice address in Freeport, and 15,555 physician assistant records in New York.
All 15,555 in New York → Every provider in Freeport → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Chelsea CavallaroFreeport, NY 115201083154793
- Caitlin Gonzalez, PA-CFreeport, NY 115201194395731
- Teddy Hervias, RPA-CFreeport, NY 115201578830964
- Roseanne Hylton, M.S., PA-CFreeport, NY 115201831074368
- David JohnsonFreeport, NY 115201902115595
- Nicole Leggio, RPA-CFreeport, NY 115201609817188
- Cindy Medrano, PAFreeport, NY 115201184130213
- Patricia Mompoint, PAFreeport, NY 115201811316508
Common questions
What is Cedric Charles Wallace, PA-C's NPI number?
Cedric Charles Wallace, PA-C's National Provider Identifier (NPI) is 1891946240, issued on Oct 3, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Cedric Charles Wallace, PA-C located?
The NPPES record lists a practice address at 20 Coolidge PL, Freeport, NY, 11520. Phone: (516) 779-5996. Providers update this record themselves, so call before visiting.
How can I verify Cedric Charles Wallace, PA-C's license?
NPPES lists New York license number 012591, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
How much does Cedric Charles Wallace, PA-C prescribe under Medicare Part D?
In 2024, Cedric Charles Wallace, PA-C had 43 Medicare Part D claims for 37 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
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.