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

Wallace E Johnson, MD

Individual provider Internal Medicine Physician · NPI 1902833619

Wallace E Johnson, MD practises Internal Medicine in Fairport, New York. Graduated from State University of New York at Buffalo School of Medicine in 1993, 33 years ago. Practices with University of Rochester, a 962-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
33
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 Ayrault Rd Ste 200
Fairport, NY 14450-8941
Phone: (585) 602-2300
Fax: (585) 425-2750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 200706 (NY)

Record details

NPI number1902833619
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESJuly 3, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice University Of Rochester — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 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 patients109
Services billed 455 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

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.

  • Strong Memorial Hospital Hospital · Rochester, NY
  • F F Thompson Hospital Hospital · Canandaigua, NY
  • Highland Hospital Hospital · Rochester, NY
  • Hcr / Hcr Home Care Chha (Rochester) Home health agency · Rochester, NY
  • Ur Medicine Hospice Hospice · Webster, NY

Colleagues at University of Rochester

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 962 clinicians in the practice; 12 are shown here.

Other providers in Fairport