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

Q: 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.

Q: What is Paul Wallace's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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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.

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