Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Tammy R Wall , PA-C

Physician Assistant • Corpus Christi, TX

Active NPI 1245348358 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

4254 S Alameda St
Corpus Christi, TX 784122469

Call 3618534191 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

4254 S Alameda St

Corpus Christi, TX 784122469

Telephone 3618534191
Fax 3618538768
Organization at the Same NPPES Address or Phone
Centerwell Senior Primary Care Ms Pc Facility NPI 1003528092

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: Conviva Medical Center Management Of Texas, P.A.. 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

2003

Medicare patients

126 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 $29,596 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 $22,905 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

5,867 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

$286,751 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: $266.05 across 13 records.

By nature of payment

  • Food and Beverage: $266.05 across 13 records.

Reporting-company totals (3 largest of 8)

  • Novo Nordisk Inc: $68.73 across 3 records.
  • GlaxoSmithKline, LLC.: $51.30 across 3 records.
  • Eli Lilly and Company: $31.13 across 2 records.

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

23 years (graduated 2003)

CMS Doctors and Clinicians data list 2003 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

2006

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)

Tammy Wall 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 Tammy Wall 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 Corpus Christi and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Corpus Christi, TX (2024, 38 clinicians with data). Median for this group: 438. Middle half: 106 to 1,062.

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Corpus Christi, TX (2024, 38 clinicians with data). Median for this group: $24,336. Middle half: $8,978 to $44,341.

A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Corpus Christi, TX (2024, 38 clinicians with data). Median for this group: $18,027. Middle half: $6,715 to $31,750.

A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.

Medicare Part D prescriptions

More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Corpus Christi, TX (2024, 39 clinicians with data). Median for this group: 420. Middle half: 184 to 1,609.

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.

Part D drug cost

A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Corpus Christi, TX (2024, 39 clinicians with data). Median for this group: $19,311. Middle half: $1,847 to $135,177.

A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $7,999. Middle half: $749 to $103,240.

77 active clinicians are listed under Physician Assistant with a practice address in Corpus Christi, TX (11,008 in Texas).

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

Telehealth indicator in Corpus Christi

10.4% of these 77 clinicians have the CMS telehealth indicator.

46.8% of these 77 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): 13 records totaling $266.05.

Manufacturer Payment Nature Product Type Amount ($)
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
CAPVAXIVE General $25.95
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $24.34
Phathom Pharmaceuticals, Inc.
Food and Beverage
Cash or cash equivalent
VOQUEZNA General $24.31
Abbott Laboratories
Food and Beverage
In-kind items and services
FREESTYLE LIBRE 3 General $23.73
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $22.39
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $22.00
Exact Sciences Corporation
Food and Beverage
In-kind items and services
Cologuard Collection Kit General $20.89
Pfizer Inc.
Food and Beverage
In-kind items and services
NURTEC ODT General $20.01
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
SHINGRIX General $19.59
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
SHINGRIX General $16.71
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $15.59
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $15.54
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
SHINGRIX General $15.00

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 2016–2023 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, 2017–2024; 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
133 89 $252.15 $102.94
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
89 62 $166.39 $73.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
55 55 $289.09 $105.15
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
52 46 $33.00 $13.39
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
48 44 $17.00 $7.61
80061 Blood test, lipids (cholesterol and triglycerides)
46 43 $28.96 $13.12
83036 Hemoglobin a1c level
36 34 $24.17 $9.52
84443 Blood test, thyroid stimulating hormone (tsh)
36 34 $43.67 $16.46
80053 Blood test, comprehensive group of blood chemicals
35 34 $22.00 $10.35
J1100 Injection, dexamethasone sodium phosphate, 1 mg
26 12 $2.85 $0.11
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
19 19 $38.63 $11.58
81001 Manual urinalysis test with examination using microscope, automated
17 17 $7.00 $3.11
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated
16 16 $9.00 $4.18
82306 Vitamin d-3 level
11 11 $70.91 $29.01

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
Atorvastatin Calcium Atorvastatin Calcium 194 15,570 $1,265.17 67
Omeprazole Omeprazole 183 12,150 $2,221.73 57
Lisinopril Lisinopril 141 8,820 $729.53 38
Losartan Potassium Losartan Potassium 136 9,450 $1,028.16 43
Levothyroxine Sodium Levothyroxine Sodium 127 8,702 $1,030.44 38
Amlodipine Besylate Amlodipine Besylate 126 9,823 $666.45 42
Metformin Hcl Metformin Hcl 119 10,305 $858.36 46
Mounjaro Tirzepatide 90 3,008 $111,223.81 16
Sertraline Hcl Sertraline Hcl 86 5,220 $754.54 25
Metoprolol Succinate Metoprolol Succinate 85 6,590 $1,369.73 27
Hydrochlorothiazide Hydrochlorothiazide 75 4,590 $297.25 23
Pantoprazole Sodium Pantoprazole Sodium 71 5,430 $518.05 23
Gabapentin Gabapentin 67 3,840 $999.74 22
Rosuvastatin Calcium Rosuvastatin Calcium 67 4,490 $450.46 17
Ozempic Semaglutide 60 1,858 $56,451.48 11
Methylprednisolone Methylprednisolone 58 348 $532.58 43
Simvastatin Simvastatin 55 4,930 $448.98 21
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 53 2,190 $464.96 14
Glipizide Glipizide 50 2,220 $380.59 —
Ezetimibe Ezetimibe 50 3,810 $883.95 15
Pravastatin Sodium Pravastatin Sodium 42 3,360 $498.11 15
Escitalopram Oxalate Escitalopram Oxalate 39 3,390 $529.99 17
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 38 222 $498.93 29
Duloxetine Hcl Duloxetine Hcl 33 2,490 $726.35 —
Eliquis Apixaban 32 1,455 $26,695.47 —

(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: 2026-03-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES TX PA03796

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: Texas Medical 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

I20040803001003

Enrollment State Jurisdiction

TX

PECOS Control ID

3072584101

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

Conviva Medical Center Management Of Texas, P.a.

260 Us Hwy 181 N, Floresville, TX 781143136

Phone: 8303938222

Conviva Medical Center Management Of Texas, P.a.

4254 S Alameda St, Corpus Christi, TX 784122469

Phone: 3618534191

Clinicians Sharing This Practice Address or Phone

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

9 listed
Dr. Stephen Barth , MD

Family Medicine - Adult Medicine

NPI 1700885225

Doctor of Medicine (M.D.)

Dalailah De La Rosa , AGNP

Nurse Practitioner

NPI 1962947242

Adult-Gerontology Nurse Practitioner

Margo Gonzalez-Hussey , NP

Nurse Practitioner - Family

NPI 1619314879

Nurse Practitioner

Lilah Luz Jimenez

Nurse Practitioner

NPI 1629601018
Monica Olague , FNP-C

Nurse Practitioner - Family

NPI 1013539287

Family Nurse Practitioner (Certified)

NPI 1144755778

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Business Mailing Address March 26, 2026

Registered at 6101 BLUE LAGOON DR STE 200, MIAMI, FL 331263168 (Tel: 3618534191)

📍
Updated Practice Location June 29, 2025

Registered at 4254 S ALAMEDA ST, CORPUS CHRISTI, TX 784122469 (Tel: 3618534191)

📍
Updated Business Mailing Address June 29, 2025

Registered at 4254 S ALAMEDA ST, CORPUS CHRISTI, TX 784122469 (Tel: 3618534191)

âś…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 08, 2007

Registered at 3301 S ALAMEDA ST, SUITE 201, CORPUS CHRISTI, TX 784111882 (Tel: 3618572900)

📍
Business Mailing Address (Initial Record) July 08, 2007

Registered at 3301 S ALAMEDA ST, SUITE 201, CORPUS CHRISTI, TX 784111882 (Tel: 3618572900)

👤
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as TAMMY WALL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (license number reported to NPPES: TX PA03796)

🟢
Initial NPI Registration & Enumeration August 28, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245348358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2006
Last Update: March 26, 2026
Sole Proprietor: No

Other Physician Assistants in Corpus Christi

All Physician Assistants in Corpus Christi

Mailing Address

6101 Blue Lagoon Dr Ste 200

Miami, FL 331263168

Phone: 3618534191

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.