DR. DAVID R WALLACE JR. M.D.
NPI 1265743595
Radiology - Diagnostic Radiology in Lake Charles, LA

Active since July 01, 2010PECOS EnrolledAccepts Medicare Assignment
1800 RYAN ST STE 105, LAKE CHARLES, LA 70601(337) 439-4706(337) 439-8110 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2025, Sep 20, 2022, Sep 7, 2022 and 1 more (4 updates tracked since 2021).

About Dr. David R Wallace Jr. M.d. NPPES

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

DR. DAVID R WALLACE JR. M.D. (NPI 1265743595) is an individual diagnostic radiology provider in Lake Charles, Louisiana, licensed in Louisiana (MD.204718) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1265743595
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. DAVID R WALLACE JR.Credential: M.D.
Location Address1800 RYAN ST STE 105Lake Charles, LA 70601-6078
Mailing Address1800 Ryan St Ste 105Lake Charles, LA 70601-6078 · (337) 439-4706
Fax(337) 439-8110
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2010
Enumeration DateJuly 1, 2010
Last NPPES UpdateMarch 12, 20254 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
NPI 1265743595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in LA · MD.204718 Licensed in CA · A136122
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1800 RYAN ST STE 105, Lake Charles, LA 70601

Secondary Practice Locations 3

Location 110310 The Grove BlvdBaton Rouge, LA 70836-6455 · Phone (225) 761-5200 · Fax (225) 761-5750
Location 21455 E Bert Kouns Industrial LoopShreveport, LA 71105-5634 · Phone (318) 798-4500
Location 31453 E Bert Kouns Industrial Loop Ste 210Shreveport, LA 71105-6810 · Phone (318) 798-4623

Accepted Insurance

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

Dr. David R Wallace Jr. M.d. 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 ID2062727589
PECOS Enrollment IDI20160426000183
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 85

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.

Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
853 services830 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
568 services543 patients
Mri scan of leg joint without contrast 73721
An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
460 services438 patients
Mri scan of arm joint without contrast 73221
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
400 services389 patients
Mri scan of upper spinal canal without contrast 72141
An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
318 services316 patients
Ct scan of leg without contrast 73700
A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.
287 services266 patients

Hospital Affiliations CMS Care Compare 5

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Slidell Memorial Hospital

Acute Care Hospitals · Slidell, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190040
Location1001 Gause BlvdSlidell, LA 70458 · St. Tammany County
Emergency services Birthing friendly

Sterling Surgical Hospital

Acute Care Hospitals · Slidell, LA
OwnershipProprietary
CMS Certification Number190256
Location989 Robert BlvdSlidell, LA 70458 · St. Tammany County

Specialists Hospital Shreveport

Acute Care Hospitals · Shreveport, LA
OwnershipProprietary
CMS Certification Number190278
Location1500 Line AvenueShreveport, LA 71101 · Caddo County

Ochsner Medical Center-Hancock

Acute Care Hospitals · Bay Saint Louis, MS
OwnershipGovernment - Local
CMS Certification Number250162
Location149 Drinkwater BlvdBay Saint Louis, MS 39520 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70601 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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 3

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

Radiology (Diagnostic Radiology)
1800 RYAN ST STE 105
LAKE CHARLES, LA 70601
Radiology (Diagnostic Radiology)
1800 RYAN ST STE 105
LAKE CHARLES, LA 70601
Radiology (Diagnostic Radiology)
1800 RYAN ST STE 105
LAKE CHARLES, LA 70601

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 David Wallace's NPI number?

The NPI number for David Wallace is 1265743595. It was assigned to this individual provider in the NPPES registry on July 1, 2010.

Where is David Wallace located?

David Wallace practices at 1800 Ryan St Ste 105, Lake Charles, LA 70601. The listed phone number is (337) 439-4706.

What is David Wallace's specialty?

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

Is David Wallace enrolled in Medicare?

Yes. David 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.

What insurance does David Wallace accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana and UnitedHealthcare list David Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Wallace affiliated with any hospitals?

According to CMS data, David Wallace is affiliated with Ochsner Medical Center Acute, Slidell Memorial Hospital, Sterling Surgical Hospital, Specialists Hospital Shreveport and Ochsner Medical Center-Hancock.

When was this NPI record last updated?

The NPPES record for David Wallace was last updated on March 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.