MR. SCOTT ARTHUR WALLACE PA-C
NPI 1265613855
Physician Assistant in Durham, NC

Q: What is Scott Wallace's NPI number?

The NPI number for Scott Wallace is 1265613855. It was assigned to this individual provider in the NPPES registry on November 25, 2007.

Q: What is Scott Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Wallace was last updated on June 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since November 25, 2007PECOS EnrolledAccepts Medicare Assignment

3643 N ROXBORO ST, DURHAM REGIONAL HOSPITAL EMERGENCY DEPARTMENT, DURHAM, NC 27704(919) 470-5345 Get Directions Write a Review

NPPES record last updated: June 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Scott Arthur Wallace Pa-c NPPES

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

MR. SCOTT ARTHUR WALLACE PA-C (NPI 1265613855) is an individual physician assistant in Durham, North Carolina, licensed in North Carolina (0010-01140) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1265613855

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. SCOTT ARTHUR WALLACECredential: PA-C

Location Address3643 N ROXBORO ST, DURHAM REGIONAL HOSPITAL EMERGENCY DEPARTMENTDurham, NC 27704-2702

Mailing AddressPo Box 15133Durham, NC 27704-0133 · (919) 470-5345

Phone(919) 470-5345

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateNovember 25, 2007

Last NPPES UpdateJune 18, 2012

✔ NPI 1265613855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-01140

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3643 N ROXBORO ST, Durham, NC 27704

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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

Mr. Scott Arthur Wallace Pa-c 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 ID5092898288

PECOS Enrollment IDI20080211000835

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 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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

50 services50 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

23 services23 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

LYDIA DARLUD MITCHELL M.D.

Emergency Medicine