DR. THOMAS WITHERSPOON WALLACE MD
NPI 1295807733
Internal Medicine - Clinical Cardiac Electrophysiology in Little Rock, AR
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
Specialties & Licenses
Accepted Insurance
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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Thomas Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 77 clinicians in this Medicare group
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 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.
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.
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.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
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.
Which organization bills Medicare for Thomas Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Wallace reassigns Medicare benefits to St. Vincent Infirmary Medical Center (Little Rock, AR). The 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 Thomas Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Wallace accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.