NPPES file of Aug 9, 2026

Gregory Wallace, D.O.

Family Medicine Physician · Fort Drum, NY

Gregory Wallace, D.O. is a family medicine physician with a practice address in Fort Drum, New York, and NPI 1558701250, issued on Jun 27, 2013. Check the license on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

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

NPPES recordNPPES file of Aug 9, 2026
1558701250
Name
Gregory Wallace
Credential
D.O.
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
02004547A IN
Self-reported in NPPES; status is on the state search
Practice location
11050 Mount Belvedere Blvd, Fort Drum, NY 13602
Phone
(315) 772-5662
Enumerated
Jun 27, 2013
Record last updated
Jul 27, 2018 (not updated in 8 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20200330003754); accepts Medicare assignment
Medical or professional school
Philadelphia College Of Osteopathic Medicine, 2013
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 11050 Mount Belvedere Blvd

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

  1. Joshua Agard, PA-CPhysician Assistant1295343218
  2. Anne Ashley, LPC; LCDC; CSACAddiction (Substance Use Disorder) Counselor1861482713
  3. Matthew Bacca, LSWSocial Worker1538825922
  4. Todd Benham, PSYD, ABPPClinical Psychologist1558350777
  5. Sumon BhattacharyyaInternal Medicine Physician1972246387
  6. Randall Bischoff, RPA-CPhysician Assistant1760471932

Verify Gregory Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the ProfessionsCheck 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 New York 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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31% fewer Medicare Part D claims than the average family medicine physician in 2024

2,430 Medicare Part D claims for 323 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. 13 claims were for opioids.

  1. Gregory Wallace2,430
  2. Specialty average3,544

Most prescribed

  1. Atorvastatin Calcium174 claims
  2. Losartan Potassium106 claims
  3. Levothyroxine Sodium103 claims
  4. Amlodipine Besylate101 claims
  5. Metformin Hcl81 claims
  6. Gabapentin66 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.

Bills Medicare through one group practice

  1. Advocare, LLCHaddonfield, NJ

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

Gregory Wallace among 6,417 family medicine physician records in New York

Gregory Wallace, D.O. is one of 6,417 family medicine physician records with a practice address in New York. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 65% of them.

  • NPI issued2013 · 65% of these records are older, 32% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated2013 · median 2007 among the 4,188 with a school on file
  • Record last updated2018 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

23 family medicine physician records list a practice address in Fort Drum

They are 23 of the 471 NPPES records with a practice address in Fort Drum, and 6,417 family medicine physician records in New York.

The 8 family medicine physician records with the nearest ZIP codes

  1. S. Folley Dunna, M.D.Fort Drum, NY 136021861473118
  2. Elizabeth Duque, M.D.Fort Drum, NY 136021023115664
  3. Richard Haney, DOFort Drum, NY 136021447665732
  4. Sabrina Kunciw, M.D.Fort Drum, NY 136021245611854
  5. Christian Meko, MDFort Drum, NY 136021952370751
  6. Dean Pedersen, M.D.Fort Drum, NY 136021760471015
  7. Colette RajnerFort Drum, NY 136021144411596
  8. Neel Shah, MDFort Drum, NY 136021336281823

Common questions

What is Gregory Wallace, D.O.'s NPI number?

Gregory Wallace, D.O.'s National Provider Identifier (NPI) is 1558701250, issued on Jun 27, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Gregory Wallace, D.O. located?

The NPPES record lists a practice address at 11050 Mount Belvedere Blvd, Fort Drum, NY, 13602. Phone: (315) 772-5662. Providers update this record themselves, so call before visiting.

How can I verify Gregory Wallace, D.O.'s license?

Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Gregory Wallace, D.O. prescribe under Medicare Part D?

In 2024, Gregory Wallace, D.O. had 2,430 Medicare Part D claims for 323 beneficiaries; the average among family medicine physician prescribers was 3,544. 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.