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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: October 18, 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 Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Norton Children's Medical Group, LLC
8.5 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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 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.

Which organization bills Medicare for Deborah Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Wallace reassigns Medicare benefits to Norton Children's Medical Group, LLC (Louisville, KY). 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 Deborah Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deborah Wallace accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource 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.