William Jacob Wallace, PA
Surgical Physician Assistant · Cookeville, TN
William Jacob Wallace, PA is a surgical physician assistant with a practice address in Cookeville, Tennessee, and NPI 1992183412, issued on May 16, 2015. Check the license (Tennessee PA2743, as entered in NPPES) with the Tennessee board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- William Jacob Wallace
- Credential
- PA
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License numbers
- PA2743 TN
2743 TN
Self-reported in NPPES; status is on the state search - Practice location
- 105 S Willow Ave, Cookeville, TN 38501
- Phone
- (931) 372-7716
- Enumerated
- May 16, 2015
- Record last updated
- Aug 27, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (931) 372-0087
- Medicaid ID
- Q015216 TN
- Medicare enrollment
- Enrolled (PECOS I20151130001155); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgical physician assistant records → All 297 in Tennessee → Look up another NPI →
Also registered at 105 S Willow Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Joseph Archer, ANP CNurse Practitioner1033105713
- Kelly Billings, PAPhysician Assistant1588024806
- Richard Burks, PTPhysical Therapist1104657816
- David Burstedt, MDPain Medicine (Anesthesiology) Physician1528160371
- Taylor Dennison, MDAdult Reconstructive Orthopaedic Surgery Physician1457622631
- Philip Elizondo, M.D.Orthopaedic Surgery Physician1407887870
Verify William Jacob Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Tennessee board licenses this profession
Search for license PA2743Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
58% more Medicare Part D claims than the average surgical physician assistant in 2024
480 Medicare Part D claims for 245 beneficiaries, against an average of 304 among the 10,174 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 106 claims were for opioids.
Most prescribed
- Meloxicam160 claims
- Ibuprofen64 claims
- Methylprednisolone63 claims
- Hydrocodone-Acetaminophen61 claims
- Tramadol Hcl32 claims
- Diclofenac Sodium25 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): 75 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: $88.63
5 payments; by number, the most common kind was food and beverage; the largest payer was Smith+Nephew, Inc. The 7,578 providers of this specialty with any payment received $703.95 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 one group practice
- Campbell Clinic, PCCookeville, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
William Jacob Wallace among 297 surgical physician assistant records in Tennessee
William Jacob Wallace, PA is one of 297 surgical physician assistant records with a practice address in Tennessee. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 47% of them.
- NPI issued2015 · 47% of these records are older, 49% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2014 · median 2018 among the 215 with a school on file
- Record last updated2020 · 34% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgical Physician Assistant providers in Tennessee
There are 297 surgical physician assistant records in Tennessee.
All 297 in Tennessee → Every provider in Cookeville → Surgical Physician Assistant nationwide →
The 8 surgical physician assistant records with the nearest ZIP codes
- Steven Bickel, PA-CCookeville, TN 385011265480867
- Julianne Buckner, PA-CCookeville, TN 385011912986829
- Justin Cox, P.A.Cookeville, TN 385011285006635
- Jerry Crump, C.R.N.F.A.Cookeville, TN 385011942301072
- Christopher Nelson, PACookeville, TN 385011114911971
- Erica Hensley, PA-CLawrenceburg, TN 384641528254000
- Amy Methvin, PA-CLawrenceburg, TN 384641184687600
- Ashley Reagan, PA-CCrossville, TN 385551790025302
Common questions
What is William Jacob Wallace, PA's NPI number?
William Jacob Wallace, PA's National Provider Identifier (NPI) is 1992183412, issued on May 16, 2015. An NPI identifies a provider in billing; it is not a license.
Where is William Jacob Wallace, PA located?
The NPPES record lists a practice address at 105 S Willow Ave, Cookeville, TN, 38501. Phone: (931) 372-7716. Providers update this record themselves, so call before visiting.
How can I verify William Jacob Wallace, PA's license?
NPPES lists Tennessee license number PA2743, as entered by the provider. Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.
How much does William Jacob Wallace, PA prescribe under Medicare Part D?
In 2024, William Jacob Wallace, PA had 480 Medicare Part D claims for 245 beneficiaries; the average among surgical physician assistant prescribers was 304. Part D covers Medicare prescriptions only.
What is William Jacob Wallace, PA's MIPS final score?
The 2023 MIPS final score is 75 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.