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DR. THOMAS R WALLACE M.D.
NPI 1124021696
Ophthalmology in Hot Springs, AR

Active since May 27, 2005PECOS Enrolled
211 MCAULEY CT, HOT SPRINGS, AR 71913(501) 624-0609(501) 624-6191 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Thomas R Wallace M.d. NPPES

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

DR. THOMAS R WALLACE M.D. (NPI 1124021696) is an individual ophthalmology provider in Hot Springs, Arkansas, licensed in Arkansas (C4653) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124021696
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. THOMAS R WALLACECredential: M.D.
Location Address211 MCAULEY CTHot Springs, AR 71913-6314
Mailing Address211 Mcauley CtHot Springs, AR 71913-6314 · (501) 624-0609 · Fax (501) 624-6191
Phone(501) 624-0609
Fax(501) 624-6191
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1124021696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in AR · C4653
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
211 MCAULEY CT, Hot Springs, AR 71913
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas R Wallace M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Holt Eye Clinic PLLC
Same address
Ophthalmology
211 MCAULEY CT
Hot Springs, AR 71913
  • Reassigned Medicare billing, Arkansas enrollment
  • 6 clinicians in this Medicare group
NPI 1437551421 (501) 624-0609

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71913 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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 6

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

HOLT OPTICAL LLC
Durable Medical Equipment & Medical Supplies
211 MCAULEY CT
HOT SPRINGS, AR 71913
Garland County (501) 624-0609
GRAHAM HOLT O.D.
Optometrist
211 MCAULEY CT
HOT SPRINGS, AR 71913
Garland County (501) 624-0609
DR. JEFFREY GRAHAM HOLT M.D.
Ophthalmology
211 MCAULEY CT
HOT SPRINGS, AR 71913
Garland County (501) 624-0609
HOLT EYE CLINIC PLLC
Ophthalmology
211 MCAULEY CT
HOT SPRINGS, AR 71913
Garland County (501) 624-0609
WALLACE EYE CLINIC OPTICAL SHOP
Durable Medical Equipment & Medical Supplies
211 MCAULEY CT
HOT SPRINGS, AR 71913
Garland County (501) 624-0609
ARKANSAS OPHTHALMOLOGY CLINIC, P.A.
Optometrist
211 MCAULEY CT
HOT SPRINGS, AR 71913
Garland County (501) 624-0609

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 Thomas Wallace's NPI number?

The NPI number for Thomas Wallace is 1124021696. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Thomas Wallace located?

Thomas Wallace practices at 211 Mcauley Ct, Hot Springs, AR 71913. The listed phone number is (501) 624-0609.

What is Thomas Wallace's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Thomas Wallace enrolled in Medicare?

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

Which organization bills Medicare for Thomas Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Wallace reassigns Medicare benefits to Holt Eye Clinic PLLC (Hot Springs, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Wallace was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.