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DR. ERIC D WALLISA M.D.
NPI 1255309720
Family Medicine in Indianapolis, IN

Active since March 10, 2006PECOS Enrolled
5955 S EMERSON AVE, 100, INDIANAPOLIS, IN 46237(317) 789-9600(317) 789-0600 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Eric D Wallisa M.d. NPPES

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

DR. ERIC D WALLISA M.D. (NPI 1255309720) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01054688A) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255309720
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ERIC D WALLISACredential: M.D.
Location Address5955 S EMERSON AVE, 100Indianapolis, IN 46237-2525
Mailing Address5955 S Emerson Ave, 100Indianapolis, IN 46237-2525 · (317) 789-9600 · Fax (317) 789-0600
Phone(317) 789-9600
Fax(317) 789-0600
Sole ProprietorYes
Enumeration DateMarch 10, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1255309720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01054688A
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.
5955 S EMERSON AVE, Indianapolis, IN 46237
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Other Identifiers 2

Other01054688AIN · State Medical License
Other01054688BIN · State Csr

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eric D Wallisa M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46237 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 5

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

CATHY YODER MD, LLC
Family Medicine
5955 S EMERSON AVE, SUITE 100
INDIANAPOLIS, IN 46237
Marion County (317) 426-1456
DR. DAVID D WILLIAMS M.D.
Family Medicine
5955 S EMERSON AVE, SUITE 100
INDIANAPOLIS, IN 46237
Marion County (317) 789-9600
DR. JEFFERY A ROBERTS D.D.S., M.S.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
5955 S EMERSON AVE, STE. 200
INDIANAPOLIS, IN 46237
Marion County (317) 536-1365
SOUTHSIDE FAMILY MEDICAL GROUP, LLC
Family Medicine
5955 S EMERSON AVE, SUITE 100
INDIANAPOLIS, IN 46237
Marion County (317) 789-9600
DR. WILBUR EUGENE ROBERTS D.D.S, PHD
Dentist (Orthodontics and Dentofacial Orthopedics)
5955 S EMERSON AVE, STE. 200
INDIANAPOLIS, IN 46237
Marion County (317) 536-1365

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 Eric Wallisa's NPI number?

The NPI number for Eric Wallisa is 1255309720. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Eric Wallisa located?

Eric Wallisa practices at 5955 S Emerson Ave 100, Indianapolis, IN 46237. The listed phone number is (317) 789-9600.

What is Eric Wallisa's specialty?

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

Is Eric Wallisa enrolled in Medicare?

Yes. Eric Wallisa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eric Wallisa was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.