Derrick I. Wallace, M.D.
Otolaryngology Physician · Nutley, NJ
Derrick I. Wallace, M.D. is an otolaryngology physician with a practice address in Nutley, New Jersey, and NPI 1114900362, issued on Nov 22, 2005. Check the license (New Jersey 25MA08175200, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Derrick I. Wallace
- Credential
- M.D.
- Primary taxonomy
- Otolaryngology Physician 207Y00000X
- License numbers
- 25MA08175200 NJ
208988 NY
Self-reported in NPPES; status is on the state search - Practice location
- 187 Washington Ave, Nutley, NJ 07110
- Phone
- (973) 235-0090
- Enumerated
- Nov 22, 2005
- Record last updated
- Nov 29, 2011 (not updated in 15 years: call before relying on the address or phone)
- Fax
- (973) 235-0090
- Medicaid ID
- 02237176 NY
- Medicare enrollment
- Enrolled (PECOS I20070720000242); accepts Medicare assignment
- Medical or professional school
- Icahn School Of Medicine At Mount Sinai, 1996
- Entity
- Type 1 · individual
8 nearest otolaryngology physician records → All 263 in New Jersey → Look up another NPI →
Also registered at 187 Washington Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Derrick I. Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA08175200Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
61% more Medicare Part D claims than the average otolaryngology physician in 2024
870 Medicare Part D claims for 389 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. Brand-name drugs were 4% of claims.
Most prescribed
- Montelukast Sodium136 claims
- Ipratropium Bromide119 claims
- Azelastine Hcl113 claims
- Fluticasone Propionate86 claims
- Fluocinolone Acetonide Oil56 claims
- Levocetirizine Dihydrochloride42 claims
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.
Industry payments in 2024: $126.95
1 payment: food and beverage; the largest payer was Optinose US, Inc. The 6,429 providers of this specialty with any payment received $1,922.50 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Summit Medical Group PABerkeley Heights, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Derrick I. Wallace among 263 otolaryngology physician records in New Jersey
Derrick I. Wallace, M.D. is one of 263 otolaryngology physician records with a practice address in New Jersey. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 87% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 71% of these records are
- Graduated1996 · median 2002 among the 188 with a school on file
- Record last updated2011 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Otolaryngology Physician providers in New Jersey
There are 263 otolaryngology physician records in New Jersey.
All 263 in New Jersey → Every provider in Nutley → Otolaryngology Physician nationwide →
The 8 otolaryngology physician records with the nearest ZIP codes
- Samieh Rizk, MDBelleville, NJ 071091366534281
- Adel Sorial, MDBelleville, NJ 071091134124357
- Jean Anderson Eloy, M.D.Newark, NJ 071031295997500
- Anne Feng, MDNewark, NJ 071031972248094
- Andrey Filimonov, MDNewark, NJ 071031386175974
- Wayne Hsueh, M.D.Newark, NJ 071031407113921
- Rachel Kaye, MDNewark, NJ 071031861783615
- Ghayoour Mir, D.O.Newark, NJ 071031750814935
Common questions
What is Derrick I. Wallace, M.D.'s NPI number?
Derrick I. Wallace, M.D.'s National Provider Identifier (NPI) is 1114900362, issued on Nov 22, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Derrick I. Wallace, M.D. located?
The NPPES record lists a practice address at 187 Washington Ave, Nutley, NJ, 07110. Phone: (973) 235-0090. Providers update this record themselves, so call before visiting.
How can I verify Derrick I. Wallace, M.D.'s license?
NPPES lists New Jersey license number 25MA08175200, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Derrick I. Wallace, M.D. prescribe under Medicare Part D?
In 2024, Derrick I. Wallace, M.D. had 870 Medicare Part D claims for 389 beneficiaries; the average among otolaryngology physician prescribers was 541. 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.