Wallace Clements Tarry, MD
Vascular Surgery Physician · Mooresville, NC
Wallace Clements Tarry, MD is a vascular surgery physician with a practice address in Mooresville, North Carolina, and NPI 1205804945, issued on Mar 9, 2006. Check the license (North Carolina 200200613, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.
- Name
- Wallace Clements Tarry
- Credential
- MD
- Primary taxonomy
- Vascular Surgery Physician 2086S0129X
- License number
- 200200613 NC
Self-reported in NPPES; status is on the state search - Practice location
- 146 Medical Park RD, Mooresville, NC 28117
- Phone
- (704) 799-3939
- Enumerated
- Mar 9, 2006
- Record last updated
- Jul 16, 2024
- Medicare enrollment
- Enrolled (PECOS I20040304001159); accepts Medicare assignment
- Medical or professional school
- Duke University School Of Medicine, 1989
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 146 Medical Park RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Oliver BarrUndersea and Hyperbaric Medicine (Preventive Medicine) Physician1073445904
- Brian Blackburn, MDInternal Medicine Physician1568405520
- Jean Carpenter, NPNurse Practitioner1689068009
- Daniel Sonntag, CRNACertified Registered Nurse Anesthetist1578009197
Verify Wallace Clements Tarry in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNorth Carolina Medical Board
Search for license 200200613Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
44% more Medicare Part D claims than the average vascular surgery physician in 2024
289 Medicare Part D claims for 115 beneficiaries, against an average of 201 among the 3,936 providers of this specialty who prescribed in Part D. 35 claims were for opioids.
Most prescribed
- Clopidogrel100 claims
- Cilostazol50 claims
- Hydrocodone-Acetaminophen33 claims
- Xarelto20 claims
- Atorvastatin Calcium18 claims
- Eliquis14 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 MIPS final score for 2023 (Medicare payment program): 95.4 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $311.61
4 payments; by number, the most common kind was food and beverage; the largest payer was Medtronic, Inc. The 4,059 providers of this specialty with any payment received $6,178.00 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
- Carolinas Physicians Network IncCharlotte, NC
- Health Services OF Central GeorgiaMacon, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Vascular Surgery Physician providers in North Carolina
There are 129 vascular surgery physician records in North Carolina.
Other vascular surgery physician records in North Carolina
- Byron Abels, M.D.Cary, NC1417007592
- Aravinda Abeysekera, M.DHickory, NC1972957173
- Olufunsho Adamolekun, D.OPinehurst, NC1013210459
- Fanny Alie-Cusson, MDShelby, NC1225524978
- James Antezana, MDCharlotte, NC1134174436
- Frank Arko, MDCharlotte, NC1134181191
- Clinton Atkinson, M.D.Pinehurst, NC1083620280
- Mark BarlekGreenville, NC1881127983
- Thomas Beadle, MDFayetteville, NC1164606026
- Joel Berman, M.D.Pinehurst, NC1952382707
Common questions
What is Wallace Clements Tarry, MD's NPI number?
Wallace Clements Tarry, MD's National Provider Identifier (NPI) is 1205804945, issued on Mar 9, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Wallace Clements Tarry, MD located?
The NPPES record lists a practice address at 146 Medical Park RD, Mooresville, NC, 28117. Phone: (704) 799-3939. Providers update this record themselves, so call before visiting.
How can I verify Wallace Clements Tarry, MD's license?
NPPES lists North Carolina license number 200200613, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Wallace Clements Tarry, MD prescribe under Medicare Part D?
In 2024, Wallace Clements Tarry, MD had 289 Medicare Part D claims for 115 beneficiaries; the average among vascular surgery physician prescribers was 201. Part D covers Medicare prescriptions only.
What is Wallace Clements Tarry, MD's MIPS final score?
The 2023 MIPS final score is 95.4 of 100. 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.