IAN WALLACE MD
NPI 1063732758
Family Medicine in Longmont, CO

Q: What is Ian Wallace's NPI number?

The NPI number for Ian Wallace is 1063732758. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Q: What is Ian Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ian Wallace was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 04, 2010PECOS EnrolledAccepts Medicare Assignment

220 E ROGERS RD, LONGMONT, CO 80501(303) 697-2583(303) 682-6419 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2023, Apr 26, 2022, Aug 6, 2021 and 1 more (4 updates tracked since 2017).

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About Ian Wallace Md NPPES

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

IAN WALLACE MD (NPI 1063732758) is an individual family medicine provider in Longmont, Colorado, licensed in Colorado (DR.0052047) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2010).

NPPES Registry Identity

NPI1063732758

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameIAN WALLACECredential: MD

Location Address220 E ROGERS RDLongmont, CO 80501-6027

Mailing Address203 S Rollie AveFort Lupton, CO 80621-1508 · (303) 892-6401 · Fax (303) 286-4589

Phone(303) 697-2583

Fax(303) 682-6419

Sole ProprietorNo

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2010

Enumeration DateJune 4, 2010

Last NPPES UpdateFebruary 27, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2023

✔ NPI 1063732758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CO · DR.0052047

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.

220 E ROGERS RD, Longmont, CO 80501

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Other Identifiers 1

Medicaid9000203786CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Ian 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 ID3476715764

PECOS Enrollment IDI20181221001377

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

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80501 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

4 suppliers12 claims21 services$6.60 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers17 claims17 services$94.88 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers19 claims49 services$35.81 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

2 suppliers14 claims14 services$14.57 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers16 claims88 services$2.35 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

2 suppliers12 claims12 services$58.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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. MICHAEL W ALLEN DO

Family Medicine