DR. DOUGLAS MCKAY WALLACE MD
NPI 1013058932
Psychiatry & Neurology - Neurology in Miami, FL

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1201 NW 16TH ST, MIAMI VA MEDICAL CENTER, DEPT OF NEUROLOGY, MIAMI, FL 33125(305) 575-7000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Douglas Mckay Wallace Md NPPES

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

DR. DOUGLAS MCKAY WALLACE MD (NPI 1013058932) is an individual neurology provider in Miami, Florida, licensed in Florida (ME94643) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2002).

NPPES Registry Identity

NPI1013058932
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. DOUGLAS MCKAY WALLACECredential: MD
Location Address1201 NW 16TH ST, MIAMI VA MEDICAL CENTER, DEPT OF NEUROLOGYMiami, FL 33125-1624
Mailing Address11104 Sw 139th CtMiami, FL 33186-3251 · (305) 387-7346 · Fax (305) 387-4632
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2002
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1013058932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in FL · ME94643
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1201 NW 16TH ST, Miami, FL 33125

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas Mckay Wallace Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921193145
PECOS Enrollment IDI20071003000511
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33125 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers26 claims26 services$33.61 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers11 claims11 services$82.09 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers19 claims19 services$54.26 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers17 claims17 services$15.09 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers27 claims162 services$1.92 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
2 suppliers11 claims11 services$77.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Nephrology)
1201 NW 16TH ST
MIAMI, FL 33125
Registered Nurse
1201 NW 16TH ST
MIAMI, FL 33125
Social Worker (Clinical)
1201 NW 16TH ST
MIAMI, FL 33125
Dietitian, Registered
1201 NW 16TH ST
MIAMI, FL 33125
Social Worker (Clinical)
1201 NW 16TH ST, SOCIAL WORK SERVICE (122)
MIAMI, FL 33125
Dentist (General Practice)
1201 NW 16TH ST
MIAMI, FL 33125
Social Worker (Clinical)
1201 NW 16TH ST
MIAMI, FL 33125
Pharmacist
1201 NW 16TH ST
MIAMI, FL 33125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Wallace's NPI number?

The NPI number for Douglas Wallace is 1013058932. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Douglas Wallace located?

Douglas Wallace practices at 1201 NW 16th St Miami VA Medical Center, Dept Of Neurology, Miami, FL 33125. The listed phone number is (305) 575-7000.

What is Douglas Wallace's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Douglas Wallace enrolled in Medicare?

Yes. Douglas Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Douglas Wallace accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Douglas Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Wallace was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.