DR. JOHN WALLACE M.D.
NPI 1225292634
Pain Medicine - Pain Medicine in Phoenix, AZ

Active since July 15, 2008PECOS EnrolledAccepts Medicare Assignment
85.01/100
CMS Quality Rating
9321 W THOMAS RD STE 205, PHOENIX, AZ 85037(866) 974-2673(866) 939-2673 Get Directions Write a Review

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

Record update history: Apr 16, 2026, Aug 11, 2025, Apr 23, 2024 and 2 more (5 updates tracked since 2018).

About Dr. John Wallace M.d. NPPES

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

DR. JOHN WALLACE M.D. (NPI 1225292634) is an individual pain medicine provider in Phoenix, Arizona, licensed in Arizona (52631) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2008).

NPPES Registry Identity

NPI1225292634
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameDR. JOHN WALLACECredential: M.D.
Location Address9321 W THOMAS RD STE 205Phoenix, AZ 85037-3392
Mailing Address1850 N Central Ave Ste 1600Phoenix, AZ 85004-4633 · (602) 262-8900
Fax(866) 939-2673
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 2008
Enumeration DateJuly 15, 2008
Last NPPES UpdateApril 16, 20265 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
NPI 1225292634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License Licensed in AZ · 52631
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 4301093046 (MI), 52631 (AZ)
9321 W THOMAS RD STE 205, Phoenix, AZ 85037

Other Identifiers 1

Medicaid190894AZ

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

Dr. John 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 ID4789834375
PECOS Enrollment IDI20161003001633
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 21

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,855 services206 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
724 services49 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.
553 services216 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.
234 services138 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
196 services131 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
100 services91 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85037 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

85.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality72.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
32%341 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
17%24 patients1/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
96%50 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%3,716 patients5/55-star benchmark: 100%
e-Prescribing
100%490 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%703 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
99%1,436 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%3,142 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,255 patients
Patients screened: 100% · 1,255 patients
97%158 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
93%1,275 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
7%384 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%78 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 741 patients
Patients totalRate: 4% · 744 patients
4%744 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

Physician Assistant
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037
Podiatrist (Foot & Ankle Surgery)
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037
Physician Assistant
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037
Physician Assistant (Surgical)
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037
Orthopaedic Surgery
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037
Podiatrist (Foot & Ankle Surgery)
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037
Podiatrist (Foot & Ankle Surgery)
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037

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 John Wallace's NPI number?

The NPI number for John Wallace is 1225292634. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Where is John Wallace located?

John Wallace practices at 9321 W Thomas Rd Ste 205, Phoenix, AZ 85037. The listed phone number is (866) 974-2673.

What is John Wallace's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is John Wallace enrolled in Medicare?

Yes. John 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 John Wallace accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list John 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 John Wallace was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.