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MS. DONETTA WALLACE P.A.-C
NPI 1417958828
Physician Assistant in Paintsville, KY

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
336 N MAYO TRL, PAINTSVILLE, KY 41240(606) 789-8666(606) 788-0253 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Donetta Wallace P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DONETTA WALLACE P.A.-C (NPI 1417958828) is an individual physician assistant in Paintsville, Kentucky, licensed in Kentucky (PA544) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Highlands Arh Regional Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1417958828
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. DONETTA WALLACECredential: P.A.-C
Location Address336 N MAYO TRLPaintsville, KY 41240-1804
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-9571 · Fax (606) 408-6061
Phone(606) 789-8666
Fax(606) 788-0253
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 9, 2005
Last NPPES UpdateFebruary 1, 2022
NPPES CertifiedFebruary 1, 2022
✔ NPI 1417958828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · PA544
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA544 (KY)
336 N MAYO TRL, Paintsville, KY 41240
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Donetta Wallace P.a.-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113813130
PECOS Enrollment IDI20040226000281
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
598 services151 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
333 services165 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
91 services55 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
52 services52 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
32 services32 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Highlands Arh Regional Medical Center

Acute Care Hospitals · Prestonsburg, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180005
Location5000 Kentucky Route 321Prestonsburg, KY 41653 · Floyd County
Emergency services Birthing friendly

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Paul B Hall Regional Medical Center

Acute Care Hospitals · Paintsville, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180078
Location625 James S Trimble BoulevardPaintsville, KY 41240 · Johnson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.96
Promoting Interoperability100
Improvement Activities40
Cost64.52

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers38 claims91 services$6.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims14 services$1.14 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers43 claims43 services$21.23 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers20 claims20 services$8.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers96 claims96 services$111.03 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
6 suppliers26 claims3,315 services$0.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY DAWN SPRIGGS APRN
Nurse Practitioner (Family)
336 N MAYO TRL
PAINTSVILLE, KY 41240
Johnson County (606) 789-8666
ASHLAND HOSPITAL CORPORATION
Family Medicine
336 N MAYO TRL
PAINTSVILLE, KY 41240
Johnson County (606) 789-8666
DR. BRANDI LEMASTER COLLINS D.O.
Family Medicine
336 N MAYO TRL
PAINTSVILLE, KY 41240
Johnson County (606) 789-8666
DOCTORS OFFICE PLLC
Family Medicine
336 N MAYO TRL
PAINTSVILLE, KY 41240
Johnson County (606) 789-8666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donetta Wallace's NPI number?

The NPI number for Donetta Wallace is 1417958828. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Donetta Wallace located?

Donetta Wallace practices at 336 N Mayo Trl, Paintsville, KY 41240. The listed phone number is (606) 789-8666.

What is Donetta Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Donetta Wallace enrolled in Medicare?

Yes. Donetta Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Donetta Wallace accept?

Health plans from CareSource list Donetta Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Donetta Wallace affiliated with any hospitals?

According to CMS data, Donetta Wallace is affiliated with Highlands Arh Regional Medical Center, King's Daughters' Medical Center, Pikeville Medical Center and Paul B Hall Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Donetta Wallace was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.