DR. AUSTIN WILLIAM WALLACE
NPI 1063901023
Orthopaedic Surgery - Orthopaedic Trauma in Savannah, GA

Active since May 05, 2018PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
210 E DERENNE AVE, SAVANNAH, GA 31405(912) 644-5300 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2025, Jun 7, 2023, May 5, 2018 (3 updates tracked since 2018).

About Dr. Austin William Wallace NPPES

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

DR. AUSTIN WILLIAM WALLACE (NPI 1063901023) is an individual orthopaedic trauma provider in Savannah, Georgia, licensed in Georgia (101390) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Memorial University Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063901023
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameDR. AUSTIN WILLIAM WALLACE
Location Address210 E DERENNE AVESavannah, GA 31405-6736
Mailing Address210 E Derenne AveSavannah, GA 31405-6736
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 5, 2018
Last NPPES UpdateFebruary 10, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
NPI 1063901023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
Licenses Licensed in GA · 101390 Licensed in FL · ME163050
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License ME163050 (FL)
210 E DERENNE AVE, Savannah, GA 31405

Secondary Practice Locations 2

Location 13450 Hull RdGainesville, FL 32607-4144 · Phone (352) 273-7001
Location 21600 SW Archer RdGainesville, FL 32610-4144 · Phone (352) 273-7002 · Fax (352) 273-7388

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. Austin William Wallace 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 ID1153672522
PECOS Enrollment IDI20250115002719
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

St Joseph's Hospital - Savannah

Acute Care Hospitals · Savannah, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110043
Location11705 Mercy BoulevardSavannah, GA 31419 · Chatham County
Emergency services

Coastal Carolina Hospital

Acute Care Hospitals · Hardeeville, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420101
Location1000 Medical Center DriveHardeeville, SC 29927 · Jasper County
Emergency services Birthing friendly

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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

Anesthesiologist Assistant
210 E DERENNE AVE
SAVANNAH, GA 31405
210 E DERENNE AVE
SAVANNAH, GA 31405
Orthopaedic Surgery
210 E DERENNE AVE
SAVANNAH, GA 31405
Orthopaedic Surgery (Sports Medicine)
210 E DERENNE AVE
SAVANNAH, GA 31405
Physician Assistant
210 E DERENNE AVE
SAVANNAH, GA 31405
Physical Therapist
210 E DERENNE AVE
SAVANNAH, GA 31405
Physician Assistant
210 E DERENNE AVE
SAVANNAH, GA 31405
Physician Assistant (Medical)
210 E DERENNE AVE
SAVANNAH, GA 31405

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 Austin Wallace's NPI number?

The NPI number for Austin Wallace is 1063901023. It was assigned to this individual provider in the NPPES registry on May 5, 2018.

Where is Austin Wallace located?

Austin Wallace practices at 210 E Derenne Ave, Savannah, GA 31405. The listed phone number is (912) 644-5300.

What is Austin Wallace's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Austin Wallace enrolled in Medicare?

Yes. Austin 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 Austin Wallace accept?

Health plans from Alliant Health Plans, Inc. list Austin 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.

Is Austin Wallace affiliated with any hospitals?

According to CMS data, Austin Wallace is affiliated with Memorial University Medical Center, St Joseph's Hospital - Savannah and Coastal Carolina Hospital.

When was this NPI record last updated?

The NPPES record for Austin Wallace was last updated on February 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.