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STEPHEN RUSSELL WALLACE DO
NPI 1194220061
Radiology - Diagnostic Radiology in Durham, NC

Active since March 24, 2018PECOS EnrolledAccepts Medicare Assignment
2301 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2023, May 10, 2019, Apr 10, 2018 and 1 more (4 updates tracked since 2018).

About Stephen Russell Wallace Do NPPES

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

STEPHEN RUSSELL WALLACE DO (NPI 1194220061) is an individual diagnostic radiology provider in Durham, North Carolina, licensed in North Carolina (2023-00659) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194220061
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSTEPHEN RUSSELL WALLACECredential: DO
Location Address2301 ERWIN RDDurham, NC 27705-4699
Mailing AddressPo Box 63362Charlotte, NC 28263-3362
Phone(919) 684-8111
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 24, 2018
Last NPPES UpdateJune 27, 20234 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
✔ NPI 1194220061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NC · 2023-00659
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2301 ERWIN RD, Durham, NC 27705
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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

Stephen Russell Wallace Do 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 ID8325371511
PECOS Enrollment IDI20250829004354
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 27705 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 20

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

DR. HONGYUN JUNE ZHU M.D.
Radiology (Diagnostic Radiology)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
WILBUR RIGEL DATTILO M.D.
Psychiatry & Neurology (Psychiatry)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
DR. SHARON MCCARTNEY M.D.
Anesthesiology
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 681-3811
DR. JOEL GARRY MORASH M.D.
Student in an Organized Health Care Education/Training Program
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
REBEKAH DOIRON
Nurse Practitioner (Family)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
DR. YURIY ZEYLIKMAN M.D.
Psychiatry & Neurology (Neurology)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
ELIZABETH HOPE WEISSLER
Surgery (Vascular Surgery)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
DR. ANGEL GUERRERO MD
Emergency Medicine
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111

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 Stephen Wallace's NPI number?

The NPI number for Stephen Wallace is 1194220061. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Where is Stephen Wallace located?

Stephen Wallace practices at 2301 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 684-8111.

What is Stephen Wallace's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Stephen Wallace enrolled in Medicare?

Yes. Stephen 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.

When was this NPI record last updated?

The NPPES record for Stephen Wallace was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.