Jeffrey W. Wallace, PA-C
- Medicare patients, 2024
- 180
- Part D claims, 2024
- 74
- Hospital affiliations
- 3
- Industry payments
- $28
- Medical group
- 1
- Practice address
- 1011 Bowles Ave, Fenton, MO 63026
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
SSM Cancer Care South Schc - HOPD
Acute Care Hospital outpatient department · Fenton, Missouri
Find Jeffrey Wallace's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Jeffrey W. Wallace is a physician assistant in Fenton, Missouri
Jeffrey Wallace practices at SSM Cancer Care South Schc - HOPD in Fenton, Missouri.
Jeffrey Wallace's NPI, 1649479171, was assigned on July 14, 2007. Jeffrey Wallace holds Missouri license 2005024101.
- NPI
- 1649479171NPI Registry (opens in a new tab)
- Medicare PAC ID
- 0042269557
- NPI enumeration date
- July 14, 2007
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 48
- Medical school graduation
- 2004
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Jeffrey W. Wallace practices at SSM Cancer Care South Schc - HOPD in Fenton, Missouri
Jeffrey Wallace's primary practice is SSM Cancer Care South Schc - HOPD, at 1011 Bowles Ave, Fenton, MO 63026.
- SSM Cancer Care South Schc - HOPD1011 Bowles Ave, Fenton, MO 63026
Source: Dmand AI Affiliation Data
Jeffrey W. Wallace is affiliated with 5 sites of care and 1 medical group
Jeffrey Wallace's primary practice is SSM Cancer Care South Schc - HOPD in Fenton, Missouri. Jeffrey Wallace is also affiliated with SSM Health Rehabilitation Hospital - Richmond Heights. The medical group on file is SSM Health Medical Group. Dmand AI also links Jeffrey Wallace to 2 more hospitals and 1 group practice or clinic, each named with a free account. Jeffrey Wallace's employer is on file too: a hospital.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Jeffrey W. Wallace's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Jeffrey Wallace practices, 5 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| SSM Cancer Care South Schc - HOPD | Available with a free account |
| +4 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Jeffrey W. Wallace is one of 1,484 physician assistants in Missouri
Physician assistant is Jeffrey Wallace's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Jeffrey Wallace is licensed in Missouri.
Specialties and state licenses
- Physician assistant, MissouriPrimary
Physician assistants near Jeffrey Wallace
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Jeffrey W. Wallace treated 180 Medicare patients in 2024, average age 71
CMS counts 180 Medicare patients who saw Jeffrey Wallace in 2024. The largest group is 65 to 74, with 77 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 9% are also on Medicaid. Their average risk score is 1.40, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Jeffrey Wallace's median patient age at 69, with 63% women.
Jeffrey Wallace's Medicare patients by age, 2024
Jeffrey Wallace's Medicare patients by sex, 2024
- Women11363%
- Men6737%
Chronic conditions among Jeffrey Wallace's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis70%
- Mood disorders36%
- Depression33%
- Anxiety32%
- Chronic kidney disease32%
- Diabetes29%
Share of Medicare patients with each condition. A patient can have several.
Jeffrey Wallace's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 69
Patient panel by sex, all payers
- Women63%
- Men36%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Jeffrey W. Wallace wrote 74 Medicare Part D claims in 2024
In 2024, Jeffrey Wallace wrote 74 Medicare Part D claims for 45 patients. 97% of them were for generic drugs.
Jeffrey Wallace's Part D claims by kind of drug, 2024
- Generic72 claims97%
- Brand-name and other2 claims3%
Drug classes CMS tracks in Jeffrey Wallace's Part D claims, 2024
- Antibiotics46%34 of 74 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data
How Jeffrey W. Wallace takes part in Medicare
Jeffrey Wallace accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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Jeffrey W. Wallace received $28 in industry payments in 2025
CMS Open Payments shows 1 general payment to Jeffrey Wallace from 1 drug or device company in 2025. Food and beverage make up the largest share, 100% of the total. Organogenesis Inc. paid the most, $28.
Companies that paid Jeffrey Wallace the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Jeffrey W. Wallace's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Jeffrey W. Wallace
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Jeffrey W. Wallace's NPI number?
Jeffrey W. Wallace's NPI number is 1649479171. It was assigned on July 14, 2007, and it is active in the NPI Registry.
What does Jeffrey W. Wallace specialize in?
Jeffrey W. Wallace is a physician assistant in Fenton, Missouri. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Jeffrey W. Wallace practice?
Jeffrey Wallace practices at 1011 Bowles Ave, Fenton, MO 63026. Jeffrey Wallace's primary practice is SSM Cancer Care South Schc - HOPD in Fenton, Missouri. Dmand AI also links Jeffrey Wallace to 2 hospitals and 1 group practice or clinic.
What is Jeffrey W. Wallace's medical license number?
Jeffrey Wallace holds Missouri license 2005024101.
Which hospitals is Jeffrey W. Wallace affiliated with?
Jeffrey Wallace is affiliated with SSM Health Rehabilitation Hospital - Richmond Heights. Dmand AI links Jeffrey Wallace to 2 more hospitals.
What medical group is Jeffrey W. Wallace part of?
Jeffrey Wallace is linked to SSM Health Medical Group.
Does Jeffrey W. Wallace accept Medicare?
Yes. CMS lists Jeffrey Wallace as accepting Medicare assignment.
How many Medicare patients does Jeffrey W. Wallace see?
CMS counts 180 Medicare patients who saw Jeffrey Wallace in 2024, with an average age of 71.
Has Jeffrey W. Wallace received payments from drug or device companies?
CMS Open Payments shows $28 in general payments to Jeffrey Wallace from 1 company from 2025 to 2025. The largest total came from Organogenesis Inc.
How long has Jeffrey W. Wallace been practicing?
Jeffrey Wallace graduated from medical school in 2004, 22 years ago.
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