NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1699033449 M.D.
Verify on CMS → Randy Wallace, M.D.
Emergency Medicine Physician in Akron, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,398 in Emergency Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
98
Medicare Part D claims · 70 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.6/100
▲ 11 pts above national avg 83.1 · Exceptional
Industry payments
$14.36
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Randy Wallace, M.D. reported a CMS MIPS final score of 94.6/100 - above the 83.1 national average - and filed 98 Medicare Part D claims in 2023.
- 94.6/100
- MIPS score · +11 vs avg
- 98
- Part D claims, 2023
- 88%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Randy Wallace, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
95 Top 25% higher than 75% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Randy Wallace, M.D. sits
This provider among emergency medicine physician peers
Across the 14,967 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Randy Wallace, M.D. writes more Part D claims than 32% of them and scores higher on MIPS quality than 68% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Randy Wallace, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Randy Wallace, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Randy Wallace, M.D.?
High performer (top quartile)Primary specialty
Emergency Medicine Physician
Medicare Part D claims
98 72% vs specialty avg
MIPS final score
94.6/100 11.5 pts vs avg
Specialty distribution in Ohio
How Emergency Medicine Physician compares to other specialties among Ohio providers
Medicare quality performance, MIPS
Randy Wallace, M.D.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 94.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Emergency Medicine Physician) - 94.6/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Randy Wallace, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 400 WABASH AVE, Akron, OH, 44307, with a listed phone of (330) 344-6000. NPI 1699033449 was issued on 04/30/2012.
Medicare Part D records for calendar year 2023 show 98 prescription claims written by this provider, covering 70 Medicare beneficiaries and totaling roughly $3K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 23.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.6/100 for the 2023 performance year (Quality 78.5, Cost 75.5), compared with the national average of 83.1.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1699033449 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/30/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.5685
Final Score
Avg: 83.1
78.4959
Quality
75.5403
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Randy Wallace, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Emory Medical Care Foundation Inc
Atlanta, GA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Randy Wallace, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$14
Largest payer
GENZYME CORPORATION
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Ohio OMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to Randy Wallace, M.D.. To verify Randy Wallace, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Randy Wallace, M.D. - brand share 12.0%
Emergency Medicine Physician average
12% brand-name claims vs 88% generic, on 98 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
98
Total Claims
$3K
Total Drug Cost
70
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 110
- Total Day Supply
- 1,515
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $978
- Opioid Claims
- 23 (23.5% rate)
- Antibiotic Claims
- 27
Patient Demographics
- Average Patient Age
- 64.7 years
- Avg HCC Risk Score
- 1.71
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 30, 65-74: 30, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Acetaminophen-Codeine Acetaminophen With Codeine | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How Randy Wallace, M.D. fits within the Emergency Medicine Physician landscape nationally.
64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
Randy Wallace, M.D.'s 98 claims are below the specialty average of 352.
Nearby Emergency Medicine Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Wallace.
Dr. Alexandra Abangan
MD
Springfield, OH
Dr. Brian Abbott
MD
Columbus, OH
Dr. Abdalla Abdalla
MD
Lima, OH
Dr. Ali Abdallah
DO
Canton, OH
Dr. Anthony Abdullah
M.D.
Hamilton, OH
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Randy Wallace, M.D.'s specialty? ▼
Randy Wallace, M.D. specializes in Emergency Medicine Physician and practices in Akron, Ohio. Credentials: M.D..
How much does Randy Wallace, M.D. prescribe under Medicare Part D? ▼
In 2023, Randy Wallace, M.D. wrote 98 Medicare Part D claims totaling $3K in drug costs for 70 beneficiaries.
What is Randy Wallace, M.D.'s Medicare quality score? ▼
Randy Wallace, M.D. has a CMS MIPS Final Score of 94.6/100 (Quality: 78.5, Cost: 75.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Randy Wallace, M.D. located? ▼
Randy Wallace, M.D. is located at 400 WABASH AVE, Akron, OH, 44307. Phone: (330) 344-6000.
What is Randy Wallace, M.D.'s NPI number? ▼
Randy Wallace, M.D.'s National Provider Identifier (NPI) is 1699033449, issued on 04/30/2012.
Does Randy Wallace, M.D. prescribe more brand-name or generic drugs? ▼
Randy Wallace, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $2K in brand drug costs.
Does Randy Wallace, M.D. prescribe opioids? ▼
Yes, Randy Wallace, M.D. had 23 opioid claims in 2023 with an opioid prescribing rate of 23.5%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Randy Wallace, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Randy Wallace, M.D.'s most frequently prescribed drugs include Acetaminophen-Codeine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Randy Wallace, M.D. accept Medicare? ▼
Randy Wallace, M.D. appears in CMS Medicare data with 98 Part D claims and 70 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Randy Wallace, M.D.'s credentials? ▼
Randy Wallace, M.D.'s NPI is 1699033449 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.