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DEBORAH I WALLACE M.D.
NPI 1184654709
Pediatrics in Louisville, KY

Active since July 03, 2006PECOS Enrolled
3840 RUCKRIEGEL PKWY, SUITE 105, LOUISVILLE, KY 40299(502) 261-7227(844) 965-9615 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 28, 2021, Jun 21, 2016 (2 updates tracked since 2016).

About Deborah I Wallace M.d. NPPES

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

DEBORAH I WALLACE M.D. (NPI 1184654709) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (39992) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184654709
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDEBORAH I WALLACECredential: M.D.
Location Address3840 RUCKRIEGEL PKWY, SUITE 105Louisville, KY 40299-6835
Mailing Address3840 Ruckriegel Pkwy, Suite 105Louisville, KY 40299-6835 · (502) 261-7227 · Fax (844) 965-9615
Phone(502) 261-7227
Fax(844) 965-9615
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateJanuary 28, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2021
✔ NPI 1184654709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 39992
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3840 RUCKRIEGEL PKWY, Louisville, KY 40299
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deborah I 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40299 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
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 3

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

PEDIATRIC PARTNERS OF JEFFERSONTOWN
Pediatrics
3840 RUCKRIEGEL PKWY, STE105
LOUISVILLE, KY 40299
Jefferson County (502) 261-7227
MRS. MARY ELIZABETH KNIGHTS M.D.
Pediatrics
3840 RUCKRIEGEL PKWY, STE. 105
LOUISVILLE, KY 40299
Jefferson County (502) 261-7227
MR. JOSEPH CHARLES PAPPALARDO M.D.
Pediatrics
3840 RUCKRIEGEL PKWY, STE. 105
LOUISVILLE, KY 40299
Jefferson County (502) 261-7227

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 Deborah Wallace's NPI number?

The NPI number for Deborah Wallace is 1184654709. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Deborah Wallace located?

Deborah Wallace practices at 3840 Ruckriegel Pkwy Suite 105, Louisville, KY 40299. The listed phone number is (502) 261-7227.

What is Deborah Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Deborah Wallace enrolled in Medicare?

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

What insurance does Deborah Wallace accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 1 other insurer list Deborah 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.

When was this NPI record last updated?

The NPPES record for Deborah Wallace was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.