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DR. PAUL WESLEY WALLACE MD
NPI 1063494474
Dermatology in Beverly Hills, CA

Active since November 19, 2005PECOS Enrolled
8920 WILSHIRE BLVD, SUITE 327, BEVERLY HILLS, CA 90211(310) 652-8460(310) 652-8499 Get Directions Write a Review

NPPES record last updated: October 16, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul Wesley Wallace Md NPPES

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

DR. PAUL WESLEY WALLACE MD (NPI 1063494474) is an individual dermatology provider in Beverly Hills, California, licensed in California (A049918) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1989).

NPPES Registry Identity

NPI1063494474
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. PAUL WESLEY WALLACECredential: MD
Location Address8920 WILSHIRE BLVD, SUITE 327Beverly Hills, CA 90211-2007
Mailing Address8920 Wilshire Blvd, Suite 327Beverly Hills, CA 90211-2007 · (310) 652-8460 · Fax (310) 652-8499
Phone(310) 652-8460
Fax(310) 652-8499
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1989
Enumeration DateNovember 19, 2005
Last NPPES UpdateOctober 16, 2007
✔ NPI 1063494474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A049918
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
8920 WILSHIRE BLVD, Beverly Hills, CA 90211
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Other Identifiers 3

Medicare PINWA49118CCA
Medicare UPINF46168CA
Medicaid00A499180CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Wesley Wallace Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739074196
PECOS Enrollment IDI20080212000422
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 5

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.
95 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services61 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
32 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90211 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 20

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

DR. STEVE CHEN M.D.
Surgery (Pediatric Surgery)
8920 WILSHIRE BLVD, SUITE 326
BEVERLY HILLS, CA 90211
Los Angeles County (310) 598-7738
MR. A KEVIN AMINIAN MD
Psychiatry & Neurology (Neurology)
8920 WILSHIRE BLVD, SUITE 548
BEVERLY HILLS, CA 90211
Los Angeles County (310) 358-0700
WALLACE MEDICAL GROUP, INC
Dermatology (Procedural Dermatology)
8920 WILSHIRE BLVD, SUITE 327
BEVERLY HILLS, CA 90211
Los Angeles County (310) 652-8460
DR. MARY MIGLIETTA-ROTHMAN DDS
Dentist
8920 WILSHIRE BLVD, SU. 410
BEVERLY HILLS, CA 90211
Los Angeles County (310) 652-2360
DR. GLENN A MARSHAK M.D.
Internal Medicine
8920 WILSHIRE BLVD
BEVERLY HILLS, CA 90211
Los Angeles County (310) 553-5203
JOHN D ROMM MD A MEDICAL CORPORATION
Internal Medicine (Gastroenterology)
8920 WILSHIRE BLVD, STE #330
BEVERLY HILLS, CA 90211
Los Angeles County (310) 854-5638
DR. MICHELE L FRAWLEY DDS
Dentist (General Practice)
8920 WILSHIRE BLVD, SUITE 701
BEVERLY HILLS, CA 90211
Los Angeles County (310) 652-8383
TOM FLASHMAN MEDICAL CORPORATION
Specialist
8920 WILSHIRE BLVD, SUITE 301
BEVERLY HILLS, CA 90211
Los Angeles County (310) 360-9245

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 Paul Wallace's NPI number?

The NPI number for Paul Wallace is 1063494474. It was assigned to this individual provider in the NPPES registry on November 19, 2005.

Where is Paul Wallace located?

Paul Wallace practices at 8920 Wilshire Blvd Suite 327, Beverly Hills, CA 90211. The listed phone number is (310) 652-8460.

What is Paul Wallace's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Paul Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Paul Wallace was last updated on October 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.