DR. KAREN L. WALLACE MD
NPI 1245463934
Radiology - Diagnostic Radiology in Cambridge, MA

Active since August 27, 2009PECOS EnrolledAccepts Medicare Assignment
330 MOUNT AUBURN ST, DEPARTMENT OF RADIOLOGY, CAMBRIDGE, MA 02138(617) 499-5070 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Karen L. Wallace Md NPPES

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

DR. KAREN L. WALLACE MD (NPI 1245463934) is an individual diagnostic radiology provider in Cambridge, Massachusetts, licensed in Massachusetts (240595) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1245463934
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KAREN L. WALLACECredential: MD
Location Address330 MOUNT AUBURN ST, DEPARTMENT OF RADIOLOGYCambridge, MA 02138-5502
Mailing Address330 Mount Auburn St, Department Of RadiologyCambridge, MA 02138-5502 · (617) 499-5070
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 27, 2009
Last NPPES UpdateDecember 15, 2021
✔ NPI 1245463934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MA · 240595
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
330 MOUNT AUBURN ST, Cambridge, MA 02138

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

Dr. Karen L. 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 ID9739341793
PECOS Enrollment IDI20120509000056
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

2

Medicare enrollment records show Karen Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Diagnostic Radiology
1001 POTRERO AVENUE BLDG 5, 1ST FL
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 336 clinicians in this Medicare group

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
49 services46 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
22 services12 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02138 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 20

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

Physician Assistant (Surgical)
330 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Student in an Organized Health Care Education/Training Program
330 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Obstetrics & Gynecology
330 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Pediatrics (Pediatric Cardiology)
330 MOUNT AUBURN ST, NEWBORN SERVICES
CAMBRIDGE, MA 02138
Internal Medicine
330 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Emergency Medicine
330 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Anesthesiology
330 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Student in an Organized Health Care Education/Training Program
330 MOUNT AUBURN ST
CAMBRIDGE, MA 02138

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 Karen Wallace's NPI number?

The NPI number for Karen Wallace is 1245463934. It was assigned to this individual provider in the NPPES registry on August 27, 2009.

Where is Karen Wallace located?

Karen Wallace practices at 330 Mount Auburn St Department Of Radiology, Cambridge, MA 02138. The listed phone number is (617) 499-5070.

What is Karen Wallace's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Karen Wallace enrolled in Medicare?

Yes. Karen 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 Karen Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Wallace reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Stockton, CA) and University Of California Sfgh Medical Group (San Francisco, CA). 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 Karen Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karen Wallace was last updated on December 15, 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.