DR. DOUGLAS WALLACE M.D.
NPI 1285098806
Emergency Medicine in Nashville, TN

Q: What is Douglas Wallace's NPI number?

The NPI number for Douglas Wallace is 1285098806. It was assigned to this individual provider in the NPPES registry on April 9, 2016.

Q: What is Douglas Wallace's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Wallace was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 April 09, 2016PECOS EnrolledAccepts Medicare Assignment

97.12/100

CMS Quality Rating

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-3000 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2023, Jan 17, 2022, Nov 17, 2021 and 1 more (4 updates tracked since 2018).

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About Dr. Douglas Wallace M.d. NPPES

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

DR. DOUGLAS WALLACE M.D. (NPI 1285098806) is an individual emergency medicine provider in Nashville, Tennessee, licensed in Tennessee (64623) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1285098806

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. DOUGLAS WALLACECredential: M.D.

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-0001

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691

Phone(615) 322-3000

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2016

Enumeration DateApril 9, 2016

Last NPPES UpdateApril 25, 20254 updates tracked since enumeration

NPPES CertifiedApril 25, 2025

✔ NPI 1285098806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in TN · 64623✔ Licensed in AL · 36768

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 64623 (TN)

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

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Secondary Practice Locations 4

Location 1625 19th St SBirmingham, AL 35233 · Phone (205) 975-7387

Location 21801 N Jackson StTullahoma,, TN 37388-8801 · Phone (615) 875-6415

Location 32835 Highway 231 NShelbyville, TN 37160-7327 · Phone (615) 875-6415

Location 41411 W Baddour PkwyLebanon, TN 37087-2513 · Phone (615) 875-6415

Other Identifiers 1

MedicaidQ064437TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Insurance Company.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. Douglas 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 ID3577859735

PECOS Enrollment IDI20220125001266

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.

124 services119 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.

67 services67 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.

44 services44 patients

Hospital Affiliations CMS Care Compare 2

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440039

Location1211 Medical Center DriveNashville, TN 37232 · Davidson County

Emergency services Birthing friendly

Vanderbilt Wilson County Hospital

Acute Care Hospitals · Lebanon, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440193

Location1411 Baddour ParkwayLebanon, TN 37087 · Wilson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

97.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.64

Promoting Interoperability

100

Improvement Activities

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. ENGLISH FLACK MD

Pediatrics (Pediatric Cardiology)