DR. MARY ANDERSON WALLACE M.D.
NPI 1215109228
Hospitalist in Colorado Springs, CO

Active since March 31, 2008PECOS EnrolledAccepts Medicare Assignment
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909(303) 338-4545 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2021, Nov 20, 2018, Jun 23, 2017 (3 updates tracked since 2017).

About Dr. Mary Anderson Wallace M.d. NPPES

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

DR. MARY ANDERSON WALLACE M.D. (NPI 1215109228) is an individual hospitalist provider in Colorado Springs, Colorado, licensed in Colorado (DR.0049780) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1215109228
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. MARY ANDERSON WALLACECredential: M.D.
Location Address1400 E BOULDER STColorado Springs, CO 80909-5533
Mailing Address10350 E Dakota AveDenver, CO 80247-1314
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 31, 2008
Last NPPES UpdateSeptember 27, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
NPI 1215109228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CO · DR.0049780
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 ListedInternal MedicineTaxonomy 207R00000X · License 49780 (CO)
1400 E BOULDER ST, Colorado Springs, CO 80909

Other Names 1

Former Name (1)Mary Elizabeth Anderson M.d.

Other Identifiers 2

Medicaid94831076CO
Other029236CO · Kaiser Commercial Number

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

Dr. Mary Anderson Wallace M.d. 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 ID6608022736
PECOS Enrollment IDI20120806000720
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 80909 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$68.92 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$33.95 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 20

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

Emergency Medicine
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
Pediatrics (Neonatal-Perinatal Medicine)
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
Emergency Medicine
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
Physician Assistant
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
Social Worker (Clinical)
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
Physician Assistant
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
Physical Therapist
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
Anesthesiology
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909

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 Mary Wallace's NPI number?

The NPI number for Mary Wallace is 1215109228. It was assigned to this individual provider in the NPPES registry on March 31, 2008. The provider is also known as Mary Elizabeth Anderson M.D..

Where is Mary Wallace located?

Mary Wallace practices at 1400 E Boulder St, Colorado Springs, CO 80909. The listed phone number is (303) 338-4545.

What is Mary Wallace's specialty?

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

Is Mary Wallace enrolled in Medicare?

Yes. Mary 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 Mary Wallace was last updated on September 27, 2021. 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.