DR. ELRON J WALLACE MD
NPI 1124122809
Anesthesiology in Glen Burnie, MD
About Dr. Elron J Wallace Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELRON J WALLACE MD (NPI 1124122809) is an individual anesthesiology provider in Glen Burnie, Maryland, licensed in Maryland (D65067) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Elron J 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.
Medicare Billing Reassignments
6Medicare enrollment records show Elron Wallace reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Annapolis, MD 21401
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 391 clinicians in this Medicare group
Columbia, MD 21046
- Reassigned Medicare billing, Maryland enrollment
- 734 clinicians in this Medicare group
Prince Frederick, MD 20678
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 196 clinicians in this Medicare group
Ligonier, PA 15658
- Reassigned Medicare billing, Pennsylvania enrollment
- 669 clinicians in this Medicare group
Dushore, PA 18614
- Reassigned Medicare billing, Pennsylvania and New York enrollments
- Medicare enrollment name: Guthrie Medical Group PC
- Also billed through NPI 1245246644 (New York)
- 830 clinicians in this Medicare group
Melville, NY 11747
- Reassigned Medicare billing, Pennsylvania enrollment
- 928 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Western Maryland Regional Medical Center
Acute Care Hospitals · Cumberland, MDUnion Hospital Of Cecil County
Acute Care Hospitals · Elkton, MDCorning Hospital
Acute Care Hospitals · Corning, NYPottstown Hospital
Acute Care Hospitals · Pottstown, PAMedicare 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.
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
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 Elron Wallace's NPI number?
The NPI number for Elron Wallace is 1124122809. It was assigned to this individual provider in the NPPES registry on September 12, 2006.
Where is Elron Wallace located?
Elron Wallace practices at 301 Hospital Dr, Glen Burnie, MD 21061. The listed phone number is (410) 787-4656.
What is Elron Wallace's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Elron Wallace enrolled in Medicare?
Yes. Elron 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.
Which organizations bill Medicare for Elron Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elron Wallace reassigns Medicare benefits to 6 organizations: Anesthesia Company, LLC (Annapolis, MD), First Colonies Anesthesia Associates, LLC (Columbia, MD), North American Partners In Anesthesia Maryland LLC (Prince Frederick, MD), Excela Health Physician Practices, Inc. (Ligonier, PA), Guthrie Medical Group, P.C. (Dushore, PA) and 1 more organization, listed in the Medicare section above. Each 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 Elron Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Elron Wallace affiliated with any hospitals?
According to CMS data, Elron Wallace is affiliated with Western Maryland Regional Medical Center, Union Hospital Of Cecil County, Corning Hospital and Pottstown Hospital.
When was this NPI record last updated?
The NPPES record for Elron Wallace was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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. Elron J Wallace, MD · NPI 1124122809
Anesthesiology physician in Glen Burnie, Maryland. Individual provider, active in the CMS NPPES registry since September 12, 2006.
## Identity
- **NPI:** 1124122809 (Entity type: Individual)
- **Enumerated:** September 12, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** D65067 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 HOSPITAL DR, Glen Burnie, MD 21061-5803
- **Phone:** (410) 787-4656
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Anesthesia Company, LLC (NPI 1871548156, Annapolis, MD); First Colonies Anesthesia Associates, LLC (NPI 1740218767, Columbia, MD); North American Partners In Anesthesia Maryland LLC (NPI 1093707879, Prince Frederick, MD); Excela Health Physician Practices, Inc. (NPI 1497200828, Ligonier, PA); Guthrie Medical Group, P.C. (NPI 1487603965, Dushore, PA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** January 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124122809) · Data from the CMS NPPES public registry.