DR. COLLEEN MAIRE WALLACE MD
NPI 1194743815
Hospitalist in Saint Louis, MO

Q: What is Colleen Wallace's NPI number?

The NPI number for Colleen Wallace is 1194743815. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Colleen Wallace's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Colleen Wallace was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since July 18, 2006PECOS Enrolled

79.29/100

CMS Quality Rating

1 CHILDRENS PL, DIV PED HOSPITALIST MED, SAINT LOUIS, MO 63110(314) 454-2076(314) 747-8953 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Aug 30, 2023 and 5 more (8 updates tracked since 2016).

On this page

About Dr. Colleen Maire Wallace Md NPPES

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

DR. COLLEEN MAIRE WALLACE MD (NPI 1194743815) is an individual hospitalist provider in Saint Louis, Missouri, licensed in Missouri (2004002778) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194743815

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. COLLEEN MAIRE WALLACECredential: MD

Location Address1 CHILDRENS PL, DIV PED HOSPITALIST MEDSaint Louis, MO 63110-1002

Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-2076 · Fax (314) 747-8953

Phone(314) 454-2076

Fax(314) 747-8953

Sole ProprietorNo

Enumeration DateJuly 18, 2006

Last NPPES UpdateApril 17, 20258 updates tracked since enumeration

✔ NPI 1194743815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in MO · 2004002778

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedPediatricsTaxonomy 208000000X · License 2004002778 (MO)

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 2004002778 (MO)

1 CHILDRENS PL, Saint Louis, MO 63110

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Other Identifiers 1

Medicaid209219609MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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)

Dr. Colleen Maire Wallace Md 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 63110 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

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.

79.29/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.46

Promoting Interoperability

100

Improvement Activities

Cost

59.51

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.

ARIE BAKER MSW, LCSW

Social Worker (Clinical)

1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110

St. Louis City (314) 747-6169

SUSAN CHEUNG WALSH AUD

Audiologist-Hearing Aid Fitter

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-4649

MS. JENNIFER MARIE JACOBI PNP

Nurse Practitioner (Pediatrics)

1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110

St. Louis City (314) 362-3577

MS. EMILY LINCOLN RN, NNP-BC

Nurse Practitioner (Neonatal, Critical Care)

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6000

MS. MARISSA ROSE PEREZ-MAGNELLI PNP

Nurse Practitioner (Pediatrics)

1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6120

DR. WILLIAM L RIVES MD

Hospitalist

1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2076

DR. PETER M KILBRIDGE MD

Pediatrics

1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2479

DR. JEFFREY MAGEE MD

Pediatrics (Pediatric Hematology-Oncology)

1 CHILDRENS PL, DIV PED HEMATOLOGY AND ONC, STE 9S
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6018

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 Colleen Wallace's NPI number?

The NPI number for Colleen Wallace is 1194743815. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Colleen Wallace located?

Colleen Wallace practices at 1 Childrens Pl Div Ped Hospitalist Med, Saint Louis, MO 63110. The listed phone number is (314) 454-2076.

What is Colleen Wallace's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Colleen Wallace enrolled in Medicare?

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

What insurance does Colleen Wallace accept?

Health plans from Cox HealthPlans list Colleen 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 Colleen Wallace was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.