Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SARA SHEEHAN WALLACE MD
NPI 1003255605
Pediatrics in West Columbia, SC

Q: What is Sara Wallace's NPI number?

The NPI number for Sara Wallace is 1003255605. It was assigned to this individual provider in the NPPES registry on June 18, 2013.

Q: What is Sara Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Sara Wallace was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.

Active since June 18, 2013PECOS Enrolled

3240 SUNSET BLVD, WEST COLUMBIA, SC 29169(803) 359-8855(803) 794-6480 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2026, Jul 23, 2026, Dec 14, 2020 and 4 more (7 updates tracked since 2016).

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About Sara Sheehan Wallace Md NPPES

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

SARA SHEEHAN WALLACE MD (NPI 1003255605) is an individual pediatrics provider in West Columbia, South Carolina, licensed in South Carolina (35809) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003255605

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSARA SHEEHAN WALLACECredential: MD

Location Address3240 SUNSET BLVDWest Columbia, SC 29169-3428

Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 359-8855 · Fax (803) 794-6480

Phone(803) 359-8855

Fax(803) 794-6480

Sole ProprietorNo

Enumeration DateJune 18, 2013

Last NPPES UpdateJuly 27, 20267 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1003255605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in SC · 35809✔ Licensed in SC · LL35809

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3240 SUNSET BLVD, West Columbia, SC 29169

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Other Identifiers 2

Medicaid358099SC

Other35809SC · Sc Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Sheehan Wallace Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

PROGRESSIVE PHYSICAL THERAPY

Physical Therapist