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DR. JAMES EDWARDS WALLACE JR. MD
NPI 1063464006
Family Medicine in Pineville, LA

Active since May 17, 2006PECOS Enrolled
1135 EXPRESSWAY DR, SUITE 200 A, PINEVILLE, LA 71360(318) 561-9600(318) 561-0228 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. James Edwards Wallace Jr. Md NPPES

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

DR. JAMES EDWARDS WALLACE JR. MD (NPI 1063464006) is an individual family medicine provider in Pineville, Louisiana, licensed in Louisiana (MD.200134) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063464006
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES EDWARDS WALLACE JR.Credential: MD
Location Address1135 EXPRESSWAY DR, SUITE 200 APineville, LA 71360-6698
Mailing Address1135 Expressway Dr, Suite 200 APineville, LA 71360-6698 · (318) 561-9600 · Fax (318) 561-0228
Phone(318) 561-9600
Fax(318) 561-0228
Sole ProprietorYes
Enumeration DateMay 17, 2006
Last NPPES UpdateJune 19, 2014
✔ NPI 1063464006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · MD.200134
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1135 EXPRESSWAY DR, Pineville, LA 71360
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Other Identifiers 6

Other202768397LA · United Healthcare
Medicare UPINH11073LA
Other202768397LA · Humana Military
Medicaid1627950LA
Other202768397LA · Humana
Medicare PIN4J766BC71LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Edwards Wallace Jr. 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.

Medicare Billing Reassignment

Medicare enrollment records show James Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Calcasieu Urgent Care LLC
94 mi
Urgent Care
2640 COUNTRY CLUB RD, SUITE 400
Lake Charles, LA 70605
  • Reassigned Medicare billing, Louisiana enrollment
  • 314 clinicians in this Medicare group
NPI 1467715490 (931) 253-1110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71360 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
21%796 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
59%737 patients3/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
45%1,120 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%5,165 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
79%11,838 patients1/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
98%614 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
45%811 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%1,539 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
98%2,308 patients5/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
86%2,258 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
88%525 patients5/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 2,176 patients
Patients tobacco: 98% · 2,175 patients
89%431 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,308 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
71%2,308 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
23%2,308 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients physicalActivity: 4% · 23 patients
100%23 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers33 claims95 services$6.72 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers11 claims11 services$2.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers19 claims27 services$1.19 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$17.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$88.63 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers29 claims29 services$20.57 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 6

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

JUDITH B. NANCE, M.D. LLC
Family Medicine
1135 EXPRESSWAY DR, SUITE 200 A
PINEVILLE, LA 71360
Rapides Parish (318) 561-9600
ANNA COFFEY BRAXTON
Specialist/Technologist (Athletic Trainer)
1135 EXPRESSWAY DR
PINEVILLE, LA 71360
Rapides Parish (318) 487-7951
JAMES E. WALLACE, JR, M.D., LLC
Family Medicine
1135 EXPRESSWAY DR, SUITE 200 A
PINEVILLE, LA 71360
Rapides Parish (318) 561-9600
ERIC LEE INGRAM P.T.
Physical Therapist
1135 EXPRESSWAY DR, SUITE 100 B
PINEVILLE, LA 71360
Rapides Parish (318) 487-6525
RACHEL BAVERY PT, DPT
Physical Therapist
1135 EXPRESSWAY DR
PINEVILLE, LA 71360
Rapides Parish (318) 487-6525
WILLIAM DAVID PRESTRIDGE DPT
Physical Therapist
1135 EXPRESSWAY DR, SUITE 100
PINEVILLE, LA 71360
Rapides Parish (318) 487-6525

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 James Wallace's NPI number?

The NPI number for James Wallace is 1063464006. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is James Wallace located?

James Wallace practices at 1135 Expressway Dr Suite 200 A, Pineville, LA 71360. The listed phone number is (318) 561-9600.

What is James Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Wallace enrolled in Medicare?

Yes. James Wallace is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Wallace reassigns Medicare benefits to Calcasieu Urgent Care LLC (Lake Charles, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Wallace accept?

Health plans from CHRISTUS Health Plan list James 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 James Wallace was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.