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LAUREL SLOUGH WALLACE D.O.
NPI 1225482946
Family Medicine in Midlothian, VA

Active since April 19, 2016PECOS EnrolledAccepts Medicare Assignment
13540 HULL STREET RD, MIDLOTHIAN, VA 23112(804) 739-6142 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2021, Mar 24, 2021, Jul 10, 2019 (3 updates tracked since 2019).

About Laurel Slough Wallace D.o. NPPES

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

LAUREL SLOUGH WALLACE D.O. (NPI 1225482946) is an individual family medicine provider in Midlothian, Virginia, licensed in North Carolina (218358) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2016).

NPPES Registry Identity

NPI1225482946
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLAUREL SLOUGH WALLACECredential: D.O.
Location Address13540 HULL STREET RDMidlothian, VA 23112-2107
Mailing Address13540 Hull Street RdMidlothian, VA 23112-2107 · (804) 739-6142
Phone(804) 739-6142
Sole ProprietorYes
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2016
Enumeration DateApril 19, 2016
Last NPPES UpdateNovember 5, 20213 updates tracked since enumeration
NPPES CertifiedMarch 24, 2021
✔ NPI 1225482946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 218358
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13540 HULL STREET RD, Midlothian, VA 23112
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Other Names 1

Former Name (1)Laurel Slough D.o.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laurel Slough Wallace D.o. 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 ID42509523
PECOS Enrollment IDI20220120002704
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 Reassignments

5

Medicare enrollment records show Laurel Wallace reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bon Secours St. Francis Medical Center LLC
Same address
Family Medicine
13540 HULL STREET RD
Midlothian, VA 23112
  • Reassigned Medicare billing, Virginia enrollment
  • 61 clinicians in this Medicare group
NPI 1497788806 (804) 739-6142
Obhg Virginia, LLC
3.9 mi
Obstetrics & Gynecology
13700 ST FRANCIS BLVD, SUITE 100
Midlothian, VA 23114
  • Reassigned Medicare billing, Virginia enrollment
  • 315 clinicians in this Medicare group
NPI 1972807394 (800) 967-2289
University Of North Carolina At Chapel Hill
85 mi
Neurological Surgery
2206 WILBORN AVE, SUITE ONE
South Boston, VA 24592
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,797 clinicians in this Medicare group
NPI 1407308703 (984) 974-1273
The Moses H. Cone Memorial Hospital Operating Corporation
149 mi
Nurse Anesthetist, Certified Registered
1123 N CHURCH ST
Greensboro, NC 27401
  • Reassigned Medicare billing, North Carolina enrollment
  • 408 clinicians in this Medicare group
NPI 1164438578 (336) 832-4400
Chatham Hospital, Inc.
152 mi
Critical Access
475 PROGRESS BLVD
Siler City, NC 27344
  • Reassigned Medicare billing, North Carolina enrollment
  • 234 clinicians in this Medicare group
NPI 1689967457 (919) 799-4000

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 7

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.

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.
77 services74 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.
76 services64 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.
64 services32 patients
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.
52 services24 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
47 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490136
Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23112 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

DAN ANNA TEDDY
Hospitalist
13540 HULL STREET RD
MIDLOTHIAN, VA 23112
Chesterfield County (804) 739-6142
SABA NAZ M.D.
Family Medicine
13540 HULL STREET RD, ST. FRANCIS FAMILY MEDICINE
MIDLOTHIAN, VA 23112
Chesterfield County (804) 739-6142
DR. STEPHANIE A. CRAWFORD DO
Family Medicine
13540 HULL STREET RD
MIDLOTHIAN, VA 23112
Chesterfield County (804) 739-6142
GRACE ELIZABETH MINER LE MD
Student in an Organized Health Care Education/Training Program
13540 HULL STREET RD
MIDLOTHIAN, VA 23112
Chesterfield County (804) 739-6142
JOHN P. SHERROD M.D.
Family Medicine
13540 HULL STREET RD
MIDLOTHIAN, VA 23112
Chesterfield County (804) 739-6142
KENNY S LE M.D.
Family Medicine
13540 HULL STREET RD, ST. FRANCIS FAMILY MEDICINE CENTER
MIDLOTHIAN, VA 23112
Chesterfield County (804) 739-6142
VICTORIA E WITT DO
Family Medicine
13540 HULL STREET RD
MIDLOTHIAN, VA 23112
Chesterfield County (804) 739-6142
AARON DAVID CLAMPITT
Family Medicine
13540 HULL STREET RD
MIDLOTHIAN, VA 23112
Chesterfield County (804) 739-6142

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 Laurel Wallace's NPI number?

The NPI number for Laurel Wallace is 1225482946. It was assigned to this individual provider in the NPPES registry on April 19, 2016. The provider is also known as Laurel Slough D.O..

Where is Laurel Wallace located?

Laurel Wallace practices at 13540 Hull Street Rd, Midlothian, VA 23112. The listed phone number is (804) 739-6142.

What is Laurel Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Laurel Wallace enrolled in Medicare?

Yes. Laurel 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.

Which organizations bill Medicare for Laurel Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laurel Wallace reassigns Medicare benefits to 5 organizations: Bon Secours St. Francis Medical Center LLC (Midlothian, VA), Obhg Virginia, LLC (Midlothian, VA), University Of North Carolina At Chapel Hill (South Boston, VA), The Moses H. Cone Memorial Hospital Operating Corporation (Greensboro, NC) and Chatham Hospital, Inc. (Siler City, NC). Each 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 Laurel Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Laurel Wallace affiliated with any hospitals?

According to CMS data, Laurel Wallace is affiliated with Bon Secours St Marys Hospital and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Laurel Wallace was last updated on November 5, 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.