DR. THOMAS WITHERSPOON WALLACE MD
NPI 1295807733
Internal Medicine - Clinical Cardiac Electrophysiology in Little Rock, AR

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
10100 KANIS RD, LITTLE ROCK, AR 72205(501) 255-6000(501) 255-6400 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas Witherspoon Wallace Md NPPES

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

DR. THOMAS WITHERSPOON WALLACE MD (NPI 1295807733) is an individual clinical cardiac electrophysiology provider in Little Rock, Arkansas, licensed in Arkansas (E-6988) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2002).

NPPES Registry Identity

NPI1295807733
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. THOMAS WITHERSPOON WALLACECredential: MD
Location Address10100 KANIS RDLittle Rock, AR 72205-6202
Mailing Address1807 Shadow LnLittle Rock, AR 72207-2015 · (501) 747-2124
Fax(501) 255-6400
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 2002
Enumeration DateNovember 13, 2006
Last NPPES UpdateJune 21, 2016
NPI 1295807733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in AR · E-6988
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
10100 KANIS RD, Little Rock, AR 72205

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. Thomas Witherspoon Wallace 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 ID840391090
PECOS Enrollment IDI20110714000128
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 50

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
1,504 services629 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
643 services277 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.
608 services563 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
501 services65 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
406 services348 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
326 services316 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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.

Nurse Practitioner
10100 KANIS RD
LITTLE ROCK, AR 72205
Internal Medicine (Interventional Cardiology)
10100 KANIS RD
LITTLE ROCK, AR 72205
Clinic/Center (Medical Specialty)
10100 KANIS RD
LITTLE ROCK, AR 72205
Internal Medicine (Cardiovascular Disease)
10100 KANIS RD
LITTLE ROCK, AR 72205
Nurse Practitioner (Acute Care)
10100 KANIS RD
LITTLE ROCK, AR 72205
Internal Medicine (Interventional Cardiology)
10100 KANIS RD
LITTLE ROCK, AR 72205
Internal Medicine (Clinical Cardiac Electrophysiology)
10100 KANIS RD
LITTLE ROCK, AR 72205
Registered Nurse
10100 KANIS RD
LITTLE ROCK, AR 72205

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 Thomas Wallace's NPI number?

The NPI number for Thomas Wallace is 1295807733. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Thomas Wallace located?

Thomas Wallace practices at 10100 Kanis Rd, Little Rock, AR 72205. The listed phone number is (501) 255-6000.

What is Thomas Wallace's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Thomas Wallace enrolled in Medicare?

Yes. Thomas 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 Thomas Wallace accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas Wallace was last updated on June 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.