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DR. CAMARI WALLACE M.D.
NPI 1265876718
Anesthesiology in Long Island City, NY

Active since April 25, 2013PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
4628 VERNON BLVD STE 506, LONG ISLAND CITY, NY 11101(917) 747-8519 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Camari Wallace M.d. NPPES

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

DR. CAMARI WALLACE M.D. (NPI 1265876718) is an individual anesthesiology provider in Long Island City, New York, licensed in New York (279402) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2013).

NPPES Registry Identity

NPI1265876718
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. CAMARI WALLACECredential: M.D.
Location Address4628 VERNON BLVD STE 506Long Island City, NY 11101-5352
Mailing Address4628 Vernon Blvd Ste 506Long Island City, NY 11101-5352
Phone(917) 747-8519
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2013
Enumeration DateApril 25, 2013
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1265876718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NY · 279402
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 279402 (NY)
4628 VERNON BLVD STE 506, Long Island City, NY 11101
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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. Camari Wallace 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 ID1759657570
PECOS Enrollment IDI20171024000352
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

3

Medicare enrollment records show Camari Wallace reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York University
1.0 mi
Audiologist
660 1ST AVE, 7TH FL
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 1,074 clinicians in this Medicare group
NPI 1851341168 (212) 263-7567
Montefiore Medical Center
3.6 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331
Resource Anesthesiology Associates,pc
19 mi
Anesthesiology
450 MAMARONECK AVE STE 201
Harrison, NY 10528
  • Reassigned Medicare billing, New York enrollment
  • 59 clinicians in this Medicare group
NPI 1588647200 (877) 580-4635

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
60 services60 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
26 services26 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
20 services20 patients

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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 Camari Wallace's NPI number?

The NPI number for Camari Wallace is 1265876718. It was assigned to this individual provider in the NPPES registry on April 25, 2013.

Where is Camari Wallace located?

Camari Wallace practices at 4628 Vernon Blvd Ste 506, Long Island City, NY 11101. The listed phone number is (917) 747-8519.

What is Camari Wallace's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Camari Wallace enrolled in Medicare?

Yes. Camari 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 Camari Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camari Wallace reassigns Medicare benefits to 3 organizations: New York University (New York, NY), Montefiore Medical Center (New York, NY) and Resource Anesthesiology Associates,pc (Harrison, NY). 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 Camari 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 Camari Wallace was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.