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DAVID W WALLACE MD MBA
NPI 1376532168
Family Medicine in Shelbyville, KY

Active since October 14, 2005PECOS Enrolled
73.19/100
CMS Quality Rating
515 HOSPITAL DR, SUITE 1, SHELBYVILLE, KY 40065(502) 633-3525(502) 633-8075 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 14, 2017 (2 updates tracked since 2017).

About David W Wallace Md Mba NPPES

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

DAVID W WALLACE MD MBA (NPI 1376532168) is an individual family medicine provider in Shelbyville, Kentucky, licensed in Kentucky (22054) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376532168
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID W WALLACECredential: MD MBA
Location Address515 HOSPITAL DR, SUITE 1Shelbyville, KY 40065-1640
Mailing Address100 E Liberty St Ste 800Louisville, KY 40202-1428 · (502) 633-3525 · Fax (502) 633-8075
Phone(502) 633-3525
Fax(502) 633-8075
Sole ProprietorNo
Enumeration DateOctober 14, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1376532168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 22054
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
515 HOSPITAL DR, Shelbyville, KY 40065
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Other Identifiers 4

Other0100487Uhc
Medicaid64220544KY
Other000000048268KY · Anthem
OtherP00872496KY · Rr Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David W Wallace Md Mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.
173 services97 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
45 services29 patients
Urine microalbumin (protein) analysis 82044
Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40065 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers39 claims84 services$6.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

FAMILY PHYSICIAN ASSOCIATES PSC
Family Medicine
515 HOSPITAL DR, SUITE 1
SHELBYVILLE, KY 40065
Shelby County (502) 633-3525
MS. LAURA ELIZABETH DAVIS PA-C
Physician Assistant
515 HOSPITAL DR, SUITE # 1
SHELBYVILLE, KY 40065
Shelby County (502) 633-3525
JAMES R SMITH MD
Family Medicine
515 HOSPITAL DR, STE 1
SHELBYVILLE, KY 40065
Shelby County (502) 633-3525
FIRST UROLOGY, PSC
Urology
515 HOSPITAL DR, SUITE 3
SHELBYVILLE, KY 40065
Shelby County (502) 633-2661
EDWARD L SAMES MD
Internal Medicine
515 HOSPITAL DR, SUITE 1
SHELBYVILLE, KY 40065
Shelby County (502) 633-3525
RENEE G RYAN PA C
Physician Assistant
515 HOSPITAL DR, SUITE 1
SHELBYVILLE, KY 40065
Shelby County (502) 633-3525
JENNIFFER A GOODLETT PT
Physical Therapist
515 HOSPITAL DR, SUITE 1
SHELBYVILLE, KY 40065
Shelby County (502) 633-3525
MRS. AMY MICHELLE MOREHEAD APRN
Nurse Practitioner (Family)
515 HOSPITAL DR, SUITE 1
SHELBYVILLE, KY 40065
Shelby County (502) 633-3525

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 1376532168. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is David Wallace located?

David Wallace practices at 515 Hospital Dr Suite 1, Shelbyville, KY 40065. The listed phone number is (502) 633-3525.

What is David Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Wallace enrolled in Medicare?

Yes. David Wallace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Wallace was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.