Micah R. Wallace, PA-C
Surgical Physician Assistant · Latrobe, PA
Micah R. Wallace, PA-C is a surgical physician assistant with a practice address in Latrobe, Pennsylvania, and NPI 1588946214, issued on Sep 20, 2011. Check the license (Pennsylvania MA054581, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Micah R. Wallace
- Credential
- PA-C
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License number
- MA054581 PA
Self-reported in NPPES; status is on the state search - Practice location
- 100 Excela Health Dr Ste 102, Latrobe, PA 15650
- Phone
- (724) 804-1760
- Enumerated
- Sep 20, 2011
- Record last updated
- Dec 21, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (724) 804-1762
- Medicaid ID
- 103167119 PA
- Medicare enrollment
- Enrolled (PECOS I20120423000331); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 100 Excela Health Dr Ste 102
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Rahul Naidu, MDFacial Plastic Surgery Physician1740388701
- Madeline Starkey, AUDAudiologist1790260503
Verify Micah R. Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
Search for license MA054581Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
50% fewer Medicare Part D claims than the average surgical physician assistant in 2024
152 Medicare Part D claims for 101 beneficiaries, against an average of 304 among the 10,174 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims. 18 claims were for opioids.
Most prescribed
- Prednisone18 claims
- Ipratropium Bromide15 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
- Excela Health Physician Practices, IncLatrobe, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Surgical Physician Assistant providers in Pennsylvania
There are 832 surgical physician assistant records in Pennsylvania.
Other surgical physician assistant records in Pennsylvania
- Alyssa Abebe, PA-CPittsburgh, PA1720165509
- Ashley AbrahamPhiladelphia, PA1568220606
- Madison Abriatis, PA-CPittsburgh, PA1609514280
- David Adler, PA-CChester, PA1669613782
- Samantha Aksu, PA-CHershey, PA1356977102
- Ellen Albert, PA-CBryn Mawr, PA1689078123
- Allison Albitz, PA-CPittsburgh, PA1609479492
- Kara Albrecht, PAPittsburgh, PA1508019878
- Sarah Alfson, PA-CPhiladelphia, PA1447776018
- Chad Allender, PA-CHollidaysburg, PA1427674225
Common questions
What is Micah R. Wallace, PA-C's NPI number?
Micah R. Wallace, PA-C's National Provider Identifier (NPI) is 1588946214, issued on Sep 20, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Micah R. Wallace, PA-C located?
The NPPES record lists a practice address at 100 Excela Health Dr Ste 102, Latrobe, PA, 15650. Phone: (724) 804-1760. Providers update this record themselves, so call before visiting.
How can I verify Micah R. Wallace, PA-C's license?
NPPES lists Pennsylvania license number MA054581, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.
How much does Micah R. Wallace, PA-C prescribe under Medicare Part D?
In 2024, Micah R. Wallace, PA-C had 152 Medicare Part D claims for 101 beneficiaries; the average among surgical physician assistant prescribers was 304. 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.