DIANE E WALLACE MD
NPI 1194764647
Emergency Medicine in Warsaw, IN

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
90.21/100
CMS Quality Rating
1355 MARINERS DR, WARSAW, IN 46582(574) 372-0000 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diane E Wallace Md NPPES

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

DIANE E WALLACE MD (NPI 1194764647) is an individual emergency medicine provider in Warsaw, Indiana, licensed in Indiana (01061919A) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and is a graduate of University Of Vermont College Of Medicine (1995).

NPPES Registry Identity

NPI1194764647
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDIANE E WALLACECredential: MD
Location Address1355 MARINERS DRWarsaw, IN 46582-7145
Mailing Address608 Union Chapel RdFort Wayne, IN 46845-9357 · (260) 498-2020 · Fax (260) 498-2030
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1995
Enumeration DateJune 6, 2006
Last NPPES UpdateMarch 10, 2022
NPPES CertifiedMarch 10, 2022
NPI 1194764647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IN · 01061919A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1355 MARINERS DR, Warsaw, IN 46582

Other Names 1

Other Name (5)Diane E Wallace Md

Accepted Insurance

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

Diane E Wallace Md 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 ID8123120656
PECOS Enrollment IDI20070301000195
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
65 services61 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
28 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46582 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

90.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.75
Promoting Interoperability100
Improvement Activities40
Cost69.59

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.

Internal Medicine (Infectious Disease)
1355 MARINERS DR
WARSAW, IN 46582
Nurse Practitioner
1355 MARINERS DR
WARSAW, IN 46582
Nurse Anesthetist, Certified Registered
1355 MARINERS DR
WARSAW, IN 46582
Emergency Medicine
1355 MARINERS DR
WARSAW, IN 46582
Counselor (Mental Health)
1355 MARINERS DR
WARSAW, IN 46582
Internal Medicine (Infectious Disease)
1355 MARINERS DR
WARSAW, IN 46582
Obstetrics & Gynecology
1355 MARINERS DR
WARSAW, IN 46582
Family Medicine
1355 MARINERS DR
WARSAW, IN 46582

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 Diane Wallace's NPI number?

The NPI number for Diane Wallace is 1194764647. It was assigned to this individual provider in the NPPES registry on June 6, 2006. The provider is also known as Diane E Wallace MD.

Where is Diane Wallace located?

Diane Wallace practices at 1355 Mariners Dr, Warsaw, IN 46582. The listed phone number is (574) 372-0000.

What is Diane Wallace's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Diane Wallace enrolled in Medicare?

Yes. Diane 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.

What insurance does Diane Wallace accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Diane 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.

Is Diane Wallace affiliated with any hospitals?

According to CMS data, Diane Wallace is affiliated with Franciscan Health Michigan City.

When was this NPI record last updated?

The NPPES record for Diane Wallace was last updated on March 10, 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.