Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Miata Wallace , PA

Physician Assistant • Lincoln, NE

Active NPI 1013656990 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1500 S 58th St Ste 800
Lincoln, NE 685061407

Call 4024838600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1500 S 58th St Ste 800

Lincoln, NE 685061407

Telephone 4024838600
Fax 4024838689
Organization at the Same NPPES Address or Phone
William M Johnson, Md, Pc Facility NPI 1063448660

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Nebraska Pulmonary Specialties Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Medicare patients

155 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $14,644 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $10,709 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

1,707 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$582,120 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $621.54 across 22 records.

By nature of payment

  • Food and Beverage: $421.54 across 21 records.
  • Consulting Fee: $200.00 across 1 record.

Reporting-company totals (3 largest of 14)

  • Avadel CNS Pharmaceuticals, LLC: $237.13 across 4 records.
  • Grifols Shared Services North America, Inc.: $135.56 across 6 records.
  • Baxter Healthcare: $40.60 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Miata Wallace has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Miata Wallace as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lincoln and Nebraska

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Lincoln, NE (2024, 172 clinicians with data). Median for this group: 240. Middle half: 74 to 704.

Close to the middle for clinicians listed under Physician Assistant in Nebraska (2024, 715 clinicians with data). Median for this group: 233. Middle half: 71 to 636.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Lincoln, NE (2024, 172 clinicians with data). Median for this group: $14,877. Middle half: $5,466 to $37,509.

Close to the middle for clinicians listed under Physician Assistant in Nebraska (2024, 715 clinicians with data). Median for this group: $13,478. Middle half: $4,832 to $31,655.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Lincoln, NE (2024, 172 clinicians with data). Median for this group: $11,514. Middle half: $4,165 to $27,356.

Close to the middle for clinicians listed under Physician Assistant in Nebraska (2024, 715 clinicians with data). Median for this group: $9,711. Middle half: $3,460 to $23,724.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Lincoln, NE (2024, 169 clinicians with data). Median for this group: 277. Middle half: 88 to 1,125.

More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Nebraska (2024, 782 clinicians with data). Median for this group: 299. Middle half: 82 to 1,064.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Lincoln, NE (2024, 169 clinicians with data). Median for this group: $9,326. Middle half: $809 to $131,952.

A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Nebraska (2024, 782 clinicians with data). Median for this group: $7,125. Middle half: $758 to $101,074.

297 active clinicians are listed under Physician Assistant with a practice address in Lincoln, NE (1,352 in Nebraska).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lincoln

4.7% of these 297 clinicians have the CMS telehealth indicator.

67.3% of these 297 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 22 records totaling $621.54.

Manufacturer Payment Nature Product Type Amount ($)
Avadel CNS Pharmaceuticals, LLC
Consulting Fee
In-kind items and services
LUMRYZ General $200.00
Grifols Shared Services North America, Inc.
Food and Beverage
In-kind items and services
Prolastin-C Liquid General $40.71
Baxter Healthcare
Food and Beverage
In-kind items and services
Hillrom - Vest System Model 105 Home Care General $40.60
ABIOMED
Food and Beverage
In-kind items and services
— General $38.29
Grifols Shared Services North America, Inc.
Food and Beverage
In-kind items and services
Prolastin-C Liquid General $32.61
Grifols Shared Services North America, Inc.
Food and Beverage
In-kind items and services
Prolastin-C Liquid General $22.59
Grifols Shared Services North America, Inc.
Food and Beverage
In-kind items and services
Prolastin-C Liquid General $21.87
United Therapeutics Corporation
Food and Beverage
In-kind items and services
— General $21.28
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
GLASSIA General $20.35
Verona Pharma, Inc.
Food and Beverage
Cash or cash equivalent
Ohtuvayre General $18.35
Grifols Shared Services North America, Inc.
Food and Beverage
In-kind items and services
Prolastin-C Liquid General $17.49
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
NUCALA General $17.24
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $16.35
JAZZ PHARMACEUTICALS INC.
Food and Beverage
In-kind items and services
XYWAV General $16.29
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
OPSUMIT General $15.87
Insmed, Inc.
Food and Beverage
In-kind items and services
Arikayce General $15.87
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
AIRSUPRA General $14.70
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
OFEV General $13.66
Avadel CNS Pharmaceuticals, LLC
Food and Beverage
In-kind items and services
LUMRYZ General $13.18
Avadel CNS Pharmaceuticals, LLC
Food and Beverage
In-kind items and services
LUMRYZ General $13.02
Avadel CNS Pharmaceuticals, LLC
Food and Beverage
In-kind items and services
LUMRYZ General $10.93
Grifols Shared Services North America, Inc.
Food and Beverage
In-kind items and services
Prolastin-C Liquid General $0.29

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2022–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
123 109 $121.55 $98.91
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
22 22 $85.39 $70.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
15 15 $70.32 $61.16

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Trelegy Ellipta Fluticasone/Umeclidin/Vilanter 167 5,550 $118,187.37 34
Prednisone Prednisone 110 2,017 $385.61 76
Azithromycin Azithromycin 97 4,277 $1,409.50 34
Albuterol Sulfate Hfa Albuterol Sulfate 97 2,822 $3,048.86 42
Breo Ellipta Fluticasone/Vilanterol 71 2,430 $30,945.68 18
Stiolto Respimat Tiotropium Br/Olodaterol Hcl 63 2,426 $39,038.13 18
Symbicort Budesonide/Formoterol Fumarate 62 2,340 $16,495.59 14
Montelukast Sodium Montelukast Sodium 57 4,240 $350.29 18
Anoro Ellipta Umeclidinium Brm/Vilanterol Tr 57 1,890 $27,908.73 —
Roflumilast Roflumilast 52 1,381 $4,962.48 —
Ventolin Hfa Albuterol Sulfate 46 844 $2,781.61 17
Dulera Mometasone/Formoterol 42 1,260 $15,493.94 —
Breztri Aerosphere Budesonide/Glycopyr/Formoterol 41 1,260 $27,693.56 12
Omeprazole Omeprazole 35 1,524 $294.73 —
Budesonide Budesonide 35 592 $3,613.47 —
Bevespi Aerosphere Glycopyrrolate/Formoterol Fum 31 930 $13,298.63 —
Ipratropium Bromide Ipratropium Bromide 30 730 $926.68 —
Fluticasone Propionate Fluticasone Propionate 29 1,725 $657.92 12
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 28 217 $210.40 27
Dupixent Pen Dupilumab 27 742 $117,963.31 —
Spiriva Respimat Tiotropium Bromide 24 1,020 $17,960.53 —
Advair Hfa Fluticasone Propion/Salmeterol 23 870 $9,100.62 —
Yupelri Revefenacin 22 635 $31,918.15 —
Incruse Ellipta Umeclidinium Bromide 19 630 $7,420.70 —
Nucala Mepolizumab 16 448 $68,497.20 —

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NE 2760

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nebraska State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20220627002051

Enrollment State Jurisdiction

NE

PECOS Control ID

1456730126

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Nebraska Pulmonary Specialties Llc

2300 S 16th St, Lincoln, NE 685023704

Phone: 4024751011

Nebraska Pulmonary Specialties Llc

1600 S 48th St, Lincoln, NE 685061200

Phone: 4024833333

Nebraska Pulmonary Specialties Llc

1500 S 48th St, Lincoln, NE 685061200

Phone: 4024838600401

Nebraska Pulmonary Specialties Llc

5401 S St, Lincoln, NE 685062150

Phone: 4024133000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

35 listed
Dr. Sean Barry , MD

Internal Medicine - Pulmonary Disease

NPI 1114901642

Doctor of Medicine (M.D.)

Shane Bloom , PA

Physician Assistant

NPI 1720670482

Physician Assistant

Dr. Anup Chakraborty , MD

Internal Medicine - Pulmonary Disease

NPI 1992774889

Doctor of Medicine (M.D.)

Sarah Dolezal , PA-C

Physician Assistant

NPI 1417305384

Physician Assistant (Certified)

Dr. Douglas Fiedler , MD

Internal Medicine - Pulmonary Disease

NPI 1215976147

Doctor of Medicine (M.D.)

Sarah Froehlich , PA

Physician Assistant

NPI 1720524937

Physician Assistant

Career & Practice History

NPI enumerated May 31, 2022.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from June 2022 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1013656990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2022
Last Update: March 25, 2025
Sole Proprietor: No

Other Physician Assistants in Lincoln

All Physician Assistants in Lincoln

More public profiles in Nebraska

Directory navigation, in NPI number order.

Mailing Address

1500 S 58th St Ste 800

Lincoln, NE 685061407

Phone: 4024838600

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.