KELLEYAYN WALLACE PA
NPI 1831290717
Physician Assistant in Rochester, NY

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
98.59/100
CMS Quality Rating
2080 CLINTON AVE SOUTH, ROCHESTER, NY 14618(585) 271-2800(585) 271-0375 Get Directions Write a Review

NPPES record last updated: December 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelleyayn Wallace Pa NPPES

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

KELLEYAYN WALLACE PA (NPI 1831290717) is an individual physician assistant in Rochester, New York, licensed in New York (011509) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1831290717
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLEYAYN WALLACECredential: PA
Location Address2080 CLINTON AVE SOUTHRochester, NY 14618
Mailing Address2080 Clinton Ave SouthRochester, NY 14618 · (585) 271-2800 · Fax (585) 271-0375
Fax(585) 271-0375
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 26, 2006
Last NPPES UpdateDecember 9, 2015
NPI 1831290717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 011509
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.
2080 CLINTON AVE SOUTH, Rochester, NY 14618

Other Identifiers 6

Medicare PINAA0186NY
OtherCF8438NY · Medicare Railroad
Other1366535940NY · Group Npi
Medicaid02578343NY
Other7082043NY · Aetna
OtherG0183898590Excellus

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

Kelleyayn Wallace Pa 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 ID547368680
PECOS Enrollment IDI20070613000241
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 4

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.
110 services87 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.
20 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14618 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

98.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.95
Promoting Interoperability100
Improvement Activities40
Cost76.03

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Gastroenterology)
2080 CLINTON AVE SOUTH
ROCHESTER, NY 14618
Internal Medicine (Gastroenterology)
2080 CLINTON AVE SOUTH
ROCHESTER, NY 14618
Internal Medicine (Gastroenterology)
2080 CLINTON AVE SOUTH
ROCHESTER, NY 14618
Internal Medicine (Gastroenterology)
2080 CLINTON AVE SOUTH
ROCHESTER, NY 14618
Physician Assistant
2080 CLINTON AVE SOUTH
ROCHESTER, NY 14618
Internal Medicine (Gastroenterology)
2080 CLINTON AVE SOUTH
ROCHESTER, NY 14618
Internal Medicine (Gastroenterology)
2080 CLINTON AVE SOUTH
ROCHESTER, NY 14618
Internal Medicine (Gastroenterology)
2080 CLINTON AVE SOUTH
ROCHESTER, NY 14618

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 Kelleyayn Wallace's NPI number?

The NPI number for Kelleyayn Wallace is 1831290717. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Kelleyayn Wallace located?

Kelleyayn Wallace practices at 2080 Clinton Ave South, Rochester, NY 14618. The listed phone number is (585) 271-2800.

What is Kelleyayn Wallace's specialty?

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

Is Kelleyayn Wallace enrolled in Medicare?

Yes. Kelleyayn 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.

Is Kelleyayn Wallace affiliated with any hospitals?

According to CMS data, Kelleyayn Wallace is affiliated with Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelleyayn Wallace was last updated on December 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.