Kelleyayn Wallace, PA
Physician Assistant · Rochester, NY
Kelleyayn Wallace, PA is a physician assistant with a practice address in Rochester, New York, and NPI 1831290717, issued on Sep 26, 2006. Check the license (New York 011509, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelleyayn Wallace
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 011509 NY
Self-reported in NPPES; status is on the state search - Practice location
- 2080 Clinton Ave South, Rochester, NY 14618
- Phone
- (585) 271-2800
- Enumerated
- Sep 26, 2006
- Record last updated
- Dec 9, 2015 (not updated in 11 years: call before relying on the address or phone)
- Fax
- (585) 271-0375
- Medicaid ID
- 02578343 NY
- Medicare enrollment
- Enrolled (PECOS I20070613000241); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 2080 Clinton Ave South
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Kelleyayn 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 011509Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
91% more Medicare Part D claims than the average physician assistant in 2024
1,587 Medicare Part D claims for 464 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.
Most prescribed
- Famotidine439 claims
- Pantoprazole Sodium156 claims
- Omeprazole126 claims
- Lansoprazole118 claims
- Sod Sulf-Potass Sulf-Mag Sulf104 claims
- Rabeprazole Sodium85 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.
The practice group's MIPS final score for 2023 (Medicare payment program): 98.6 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,637.42
88 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 64,719 providers of this specialty with any payment received $841.65 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 2 group practices
- Internal Medicine GroupRochester, NY
- Texas Digestive Disease Consultants, PLLCRochester, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
630 physician assistant records list a practice address in Rochester
They are 630 of the 20,520 NPPES records with a practice address in Rochester, and 15,555 physician assistant records in New York.
All 630 in Rochester → All 15,555 in New York → Every provider in Rochester →
Other physician assistant records in New York
- Brynn Aakjar, P.A.Yonkers, NY1447592456
- Andrea Aaron, PABronx, NY1427103555
- Gabriella AaronCentral Islip, NY1790605376
- Danielle AaronsSmithtown, NY1881207520
- John AbadeerBrooklyn, NY1801434949
- Zenebou Abalo-Toga, PANew York, NY1124556154
- Kevin Alfred Abalos, PA-CCambria Heights, NY1700286424
- Clarisse AbanillaNew York, NY1598445579
- Vincent Abanilla, PA-CBrooklyn, NY1366201808
- Marie Abate, PA-CValhalla, NY1285225524
Common questions
What is Kelleyayn Wallace, PA's NPI number?
Kelleyayn Wallace, PA's National Provider Identifier (NPI) is 1831290717, issued on Sep 26, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kelleyayn Wallace, PA located?
The NPPES record lists a practice address at 2080 Clinton Ave South, Rochester, NY, 14618. Phone: (585) 271-2800. Providers update this record themselves, so call before visiting.
How can I verify Kelleyayn Wallace, PA's license?
NPPES lists New York license number 011509, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
How much does Kelleyayn Wallace, PA prescribe under Medicare Part D?
In 2024, Kelleyayn Wallace, PA had 1,587 Medicare Part D claims for 464 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Kelleyayn Wallace, PA's MIPS final score?
The 2023 MIPS final score is 98.6 of 100, reported for the practice group. 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.