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FRANCES R WALLACH MD
NPI 1255360087
Internal Medicine - Infectious Disease in New York, NY

Active since July 02, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
ONE GUSTAVE L. LEVY PLACE, NEW YORK, NY 10029(212) 241-6741(212) 534-3240 Get Directions Write a Review

NPPES record last updated: December 6, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frances R Wallach Md NPPES

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

FRANCES R WALLACH MD (NPI 1255360087) is an individual infectious disease provider in New York, New York, licensed in New York (168041) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Albany Medical College Of Union University (1985).

NPPES Registry Identity

NPI1255360087
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameFRANCES R WALLACHCredential: MD
Location AddressONE GUSTAVE L. LEVY PLACENew York, NY 10029
Mailing Address1 Gustave L Levy Pl, Box 3000New York, NY 10029-6500 · (212) 987-3100 · Fax (212) 731-5210
Phone(212) 241-6741
Fax(212) 534-3240
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1985
Enumeration DateJuly 2, 2006
Last NPPES UpdateDecember 6, 2010
✔ NPI 1255360087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NY · 168041
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
ONE GUSTAVE L. LEVY PLACE, New York, NY 10029
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF40089
Medicare ID-Type Unspecified91K471

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

Frances R Wallach 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 ID345235545
PECOS Enrollment IDI20040417000000
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 10

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.
520 services108 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.
378 services132 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
119 services100 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.
101 services63 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

DR. ANNE YIN MDCM
Student in an Organized Health Care Education/Training Program
ONE GUSTAVE L. LEVY PLACE, DEPARTMENT OF UROLOGY, THE ICAHN SCHOOL OF MEDICINE AT
NEW YORK, NY 10029
New York County (917) 763-5913
DR. ROBERT S. COPELAND-HALPERIN M.D.
Internal Medicine (Cardiovascular Disease)
ONE GUSTAVE L. LEVY PLACE, MOUNT SINAI
NEW YORK, NY 10029
New York County (212) 659-8551
ERIC BEAN MD
Student in an Organized Health Care Education/Training Program
ONE GUSTAVE L. LEVY PLACE, DEPARTMENT OF PSYCHIATRY
NEW YORK, NY 10029
New York County (212) 523-4000
MS. MAURA B ELESPURU NP
Nurse Practitioner (Family)
ONE GUSTAVE L. LEVY PLACE, MOUNT SINAI HOSPITAL
NEW YORK, NY 10029
New York County (212) 241-6768
GISELA GONZALEZ MD
Student in an Organized Health Care Education/Training Program
ONE GUSTAVE L. LEVY PLACE, BOX 1259
NEW YORK, NY 10029
New York County (212) 241-5972
BRENDAN DAVID ROSS
Student in an Organized Health Care Education/Training Program
ONE GUSTAVE L. LEVY PLACE
NEW YORK, NY 10029
New York County (212) 659-8734
SARAH JACQUELINE NESSEN
Student in an Organized Health Care Education/Training Program
ONE GUSTAVE L. LEVY PLACE, DEPARTMENT OF MEDICINE BOX #1118
NEW YORK, NY 10029
New York County (646) 596-0029
SAMANTHA AYCART PA-C
Physician Assistant
ONE GUSTAVE L. LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-6500

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 Frances Wallach's NPI number?

The NPI number for Frances Wallach is 1255360087. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Frances Wallach located?

Frances Wallach practices at One Gustave L. Levy Place, New York, NY 10029. The listed phone number is (212) 241-6741.

What is Frances Wallach's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Frances Wallach enrolled in Medicare?

Yes. Frances Wallach 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.

Is Frances Wallach affiliated with any hospitals?

According to CMS data, Frances Wallach is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Frances Wallach was last updated on December 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.