Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Timothy R Wallace, DO

Individual provider Family Medicine Physician · NPI 1275725384

Timothy R Wallace, DO is registered under Family Practice in Oshkosh, Wisconsin. Qualified in 2004, 22 years ago. Practices with Aamg Reach PLLC, a 53-clinician group. Licensed in Pennsylvania, South Carolina and Wisconsin.

Years since qualifying
22
Licensed in
PA, SC, WI
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone: (920) 303-8700
Fax: (920) 303-8832
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 60032 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS013436 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1195 (SC)

Record details

NPI number1275725384
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 13, 2007
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Aamg Reach Pllc — 53 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients171
Services billed 684 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Aurora Medical Ctr Oshkosh Hospital · Oshkosh, WI · listed as Aurora Medical Center of Oshkosh, Inc
  • Aurora At Home Home health agency · Green Bay, WI

Colleagues at Aamg Reach PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 53 clinicians in the practice; 12 are shown here.

Other providers in Oshkosh