STEPHEN BLAKE WALLACE MD
NPI 1205222502
Orthopaedic Surgery - Foot and Ankle Surgery in Denver, CO

Q: What is Stephen Wallace's NPI number?

The NPI number for Stephen Wallace is 1205222502. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Q: What is Stephen Wallace's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Wallace was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment

3055 ROSLYN ST UNIT 200, DENVER, CO 80238(303) 724-7378 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2020, Jul 20, 2020 (2 updates tracked since 2020).

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About Stephen Blake Wallace Md NPPES

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

STEPHEN BLAKE WALLACE MD (NPI 1205222502) is an individual foot and ankle surgery provider in Denver, Colorado, licensed in Colorado (DR.0063577) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Frisco, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1205222502

Entity TypeIndividualMale

Primary Taxonomy207XX0004X

Provider Legal NameSTEPHEN BLAKE WALLACECredential: MD

Location Address3055 ROSLYN ST UNIT 200Denver, CO 80238-3324

Mailing Address10361 E 28th PlDenver, CO 80238-3051 · (225) 572-6083

Phone(303) 724-7378

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2015

Enumeration DateApril 13, 2015

Last NPPES UpdateJuly 29, 20202 updates tracked since enumeration

NPPES CertifiedJuly 29, 2020

✔ NPI 1205222502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XX0004X

License✔ Licensed in CO · DR.0063577

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

3055 ROSLYN ST UNIT 200, Denver, CO 80238

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Secondary Practice Location 1

Location 15323 Harry Hines BlvdDallas, TX 75390-7201 · Phone (214) 648-0253

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Stephen Blake 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 ID2365866282

PECOS Enrollment IDI20210504000184

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 10

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.

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

282 services182 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

192 services116 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

154 services98 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

152 services140 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

109 services109 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

24 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center - Frisco

Acute Care Hospitals · Frisco, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450853

Location5601 Warren ParkwayFrisco, TX 75034 · Denton County

Emergency services Birthing friendly

Legent Orthopedic Hospital

Acute Care Hospitals · Carrollton, TX

OwnershipProprietary

CMS Certification Number670265

Location1401 E Trinity Mills RoadCarrollton, TX 75006 · Dallas County

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902

DME-Orthotic Devices · category DF003N

1 supplier20 claims20 services$79.09 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

1 supplier29 claims29 services$215.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

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