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WILLIAM E WALLACE DO
NPI 1225087562
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Decatur, TX

Active since May 06, 2006PECOS Enrolled
2000 BEN MERRITT DR, SUITE B, DECATUR, TX 76234(817) 380-6621(817) 380-6622 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Oct 27, 2017, Feb 7, 2017 and 2 more (5 updates tracked since 2016).

About William E Wallace Do NPPES

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

WILLIAM E WALLACE DO (NPI 1225087562) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Decatur, Texas, licensed in Texas (F7282) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225087562
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameWILLIAM E WALLACECredential: DO
Location Address2000 BEN MERRITT DR, SUITE BDecatur, TX 76234-3848
Mailing AddressPo Box 2078Decatur, TX 76234-6156 · (817) 380-6621
Phone(817) 380-6621
Fax(817) 380-6622
Sole ProprietorNo
Enumeration DateMay 6, 2006
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
✔ NPI 1225087562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in TX · F7282
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License F7282 (TX)
2000 BEN MERRITT DR, Decatur, TX 76234
Open in Google Maps ↗

Other Identifiers 2

Other8GH312TX · Bcbstx
Medicaid115246411TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William E Wallace Do 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.

Medicare Billing Reassignment

Medicare enrollment records show William Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoebe Gastroenterology Associates
789 mi
Clinic/Center
2740 RAY KNIGHT WAY, STE 100
Albany, GA 31707
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1659627131 (229) 312-0669

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
74 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services17 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
30 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76234 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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

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

ALFRED A. SANTOS, M.D., P.A.
Surgery
2000 BEN MERRITT DR, SUITE B
DECATUR, TX 76234
Wise County (940) 626-1900

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 William Wallace's NPI number?

The NPI number for William Wallace is 1225087562. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is William Wallace located?

William Wallace practices at 2000 Ben Merritt Dr Suite B, Decatur, TX 76234. The listed phone number is (817) 380-6621.

What is William Wallace's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is William Wallace enrolled in Medicare?

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

Which organization bills Medicare for William Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Wallace reassigns Medicare benefits to Phoebe Gastroenterology Associates (Albany, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Wallace accept?

Health plans from Sendero Health Plans, Local Nonprofit list William 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 William Wallace was last updated on July 21, 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.