DR. JACOB WALLACH DPM
NPI 1154437358
Podiatrist - Primary Podiatric Medicine in Brooklyn, NY

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2424 KINGS HWY, STE 1G, BROOKLYN, NY 11229(718) 258-9572(718) 258-7216 Get Directions Write a Review

NPPES record last updated: January 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2022, Nov 8, 2020, Dec 12, 2016 (3 updates tracked since 2016).

About Dr. Jacob Wallach Dpm NPPES

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

DR. JACOB WALLACH DPM (NPI 1154437358) is an individual primary podiatric medicine provider in Brooklyn, New York, licensed in New York (N005523) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (1998).

NPPES Registry Identity

NPI1154437358
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameDR. JACOB WALLACHCredential: DPM
Location Address2424 KINGS HWY, STE 1GBrooklyn, NY 11229-1641
Mailing Address51 White DrCedarhurst, NY 11516-2630 · (718) 258-9572 · Fax (718) 258-7216
Fax(718) 258-7216
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 1998
Enumeration DateAugust 21, 2006
Last NPPES UpdateJanuary 2, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2022
NPI 1154437358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License Licensed in NY · N005523
2424 KINGS HWY, Brooklyn, NY 11229

Other Identifiers 1

Medicaid02059272NY

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. Jacob Wallach Dpm 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 ID5193826378
PECOS Enrollment IDI20070719000085
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 14

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 fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
2,158 services775 patients
Removal of noncancer thickened skin growth, more than 4 growths 11057
This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
1,473 services506 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
956 services256 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
915 services330 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
536 services184 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
267 services140 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

Podiatrist
2424 KINGS HWY
BROOKLYN, NY 11229
Internal Medicine
2424 KINGS HWY
BROOKLYN, NY 11229

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 Jacob Wallach's NPI number?

The NPI number for Jacob Wallach is 1154437358. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Jacob Wallach located?

Jacob Wallach practices at 2424 Kings Hwy Ste 1G, Brooklyn, NY 11229. The listed phone number is (718) 258-9572.

What is Jacob Wallach's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Jacob Wallach enrolled in Medicare?

Yes. Jacob Wallach 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 Jacob Wallach was last updated on January 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.