2026 NPPES data Gynecologic Oncology Physician NPI 1407168602 MD
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SUMER WALLACE, MD

Gynecologic Oncology Physician in MADISON, Wisconsin. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
76
Medicare Part D claims · 28 beneficiaries · Gynecologic Oncology Physician avg: 188
What the federal data reveals: SUMER WALLACE, MD is a Gynecologic Oncology Physician ([object Object]) practicing in MADISON, Wisconsin with a Medicare Part D prescribing footprint of 76 claims across 28 beneficiaries .

What stands out: SUMER WALLACE, MD filed 76 Medicare Part D claims in 2023 across MADISON, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SUMER WALLACE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SUMER WALLACE, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 07/06/2010

NPI 1407168602

Primary specialty

Gynecologic Oncology Physician

Niche

1,360 US NPIs in this specialty

Medicare Part D claims

76 60% vs specialty avg

2023 prescription claims

Specialty avg: 188

Specialty distribution in Wisconsin

How Gynecologic Oncology Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Gynecologic Oncology Physician share within Wisconsin

1. Gynecologic Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gynecologic Oncology Physician share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — Gynecologic Oncology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Gynecologic Oncology Physician ABMS/AOA estimate

Est. board-certified rate (Gynecologic Oncology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Gynecologic Oncology Physician) — ABMS / AOA estimate

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).

SUMER WALLACE, MD is a Gynecologic Oncology Physician provider practicing in MADISON, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1407168602. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SUMER WALLACE, MD appears in the CMS NPPES registry as a Gynecologic Oncology Physician provider holding MD credentials at 600 HIGHLAND AVE, MADISON, WI, 53792, with a listed phone of (608) 265-1700. NPI 1407168602 was issued on 07/06/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WALLACE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 76 prescription claims written by this provider, covering 28 Medicare beneficiaries and totaling roughly $48K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Gynecologic Oncology Physician is a narrow specialty nationwide, with 1,360 enrolled providers across 49 states and an average of 188 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

600 HIGHLAND AVE
MADISON, WI 53792

Provider Details

NPI 1407168602
Specialty Gynecologic Oncology Physician
Credentials MD
Gender Female
NPI Issued 07/06/2010

Hospital and facility affiliations

Facilities where SUMER WALLACE, MD 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.

UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
MADISON, WI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

76
Total Claims
$48K
Total Drug Cost
28
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
86
Total Day Supply
1,648
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.15
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Dexamethasone
17
Letrozole
15

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Gynecologic Oncology Physician Overview

How SUMER WALLACE, MD fits within the Gynecologic Oncology Physician landscape nationally.

1,360
Gynecologic Oncology Physician Providers in US
49
States with Gynecologic Oncology Physician
188
Avg Claims per Provider

SUMER WALLACE, MD's 76 claims are below the specialty average of 188.

Nearby Gynecologic Oncology Physician Providers in Wisconsin

Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as WALLACE.

Compare Gynecologic Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SUMER WALLACE, MD's specialty?
SUMER WALLACE, MD specializes in Gynecologic Oncology Physician and practices in MADISON, Wisconsin. Credentials: MD.
How much does SUMER WALLACE, MD prescribe under Medicare Part D?
In 2023, SUMER WALLACE, MD wrote 76 Medicare Part D claims totaling $48K in drug costs for 28 beneficiaries.
Where is SUMER WALLACE, MD located?
SUMER WALLACE, MD is located at 600 HIGHLAND AVE, MADISON, WI, 53792. Phone: (608) 265-1700.
What is SUMER WALLACE, MD's NPI number?
SUMER WALLACE, MD's National Provider Identifier (NPI) is 1407168602, issued on 07/06/2010.
How many Gynecologic Oncology Physician providers are there in the US?
There are 1,360 Gynecologic Oncology Physician providers across 49 states in the US. The average Gynecologic Oncology Physician provider writes 188 Medicare Part D claims per year.
What drugs does SUMER WALLACE, MD prescribe most often?
Based on 2023 Medicare Part D data, SUMER WALLACE, MD's most frequently prescribed drugs include Dexamethasone, Letrozole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUMER WALLACE, MD accept Medicare?
SUMER WALLACE, MD appears in CMS Medicare data with 76 Part D claims and 28 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUMER WALLACE, MD's credentials?
SUMER WALLACE, MD's NPI is 1407168602 with credentials MD. 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

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.
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