DR. ROGER CHARLES WALLACE M.D.
NPI 1083645501
Emergency Medicine in Valencia, CA
About Dr. Roger Charles Wallace M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROGER CHARLES WALLACE M.D. (NPI 1083645501) is an individual emergency medicine provider in Valencia, California, licensed in California (A71306) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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. Roger Charles Wallace M.d. 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.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
VALENCIA, CA 91355
VALENCIA, CA 91355
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 Roger Wallace's NPI number?
The NPI number for Roger Wallace is 1083645501. It was assigned to this individual provider in the NPPES registry on July 5, 2006.
Where is Roger Wallace located?
Roger Wallace practices at 23845 Mcbean Pkwy, Valencia, CA 91355. The listed phone number is (661) 253-8112.
What is Roger Wallace's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Roger Wallace enrolled in Medicare?
Yes. Roger 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.
When was this NPI record last updated?
The NPPES record for Roger Wallace was last updated on July 7, 2008. 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.
# Dr. Roger Charles Wallace, M.D. · NPI 1083645501
Emergency Medicine physician in Valencia, California. Individual provider, active in the CMS NPPES registry since July 5, 2006.
## Identity
- **NPI:** 1083645501 (Entity type: Individual)
- **Enumerated:** July 5, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A71306 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 23845 MCBEAN PKWY, Valencia, CA 91355-2001
- **Phone:** (661) 253-8112 · **Fax:** (661) 253-8119
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of California, Geffen School Of Medicine, class of 1998
## Record status
- **NPPES last updated:** July 7, 2008
- **Other identifiers:** Medicare UPIN H68110 (CA); Medicare PIN WA71306B (CA); Medicaid 00A713060 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1083645501) · Data from the CMS NPPES public registry.