DR. MARK S WALLACE MD
NPI 1427098102
Anesthesiology - Pain Medicine in San Diego, CA

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 0801, SAN DIEGO, CA 92103(619) 543-5720 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark S Wallace Md NPPES

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

DR. MARK S WALLACE MD (NPI 1427098102) is an individual pain medicine provider in San Diego, California, licensed in California (G72906) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1987).

NPPES Registry Identity

NPI1427098102
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. MARK S WALLACECredential: MD
Location AddressUCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 0801San Diego, CA 92103
Mailing AddressPo Box 232410San Diego, CA 92193-2410
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1987
Enumeration DateJune 8, 2006
Last NPPES UpdateAugust 21, 2018
NPI 1427098102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in CA · G72906
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License G72906 (CA)
UCSD MEDICAL CENTER, San Diego, CA 92103

Other Identifiers 1

Medicaid00G729060CA

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. Mark S 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 ID4385831031
PECOS Enrollment IDI20101208000219
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 18

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.
216 services161 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
207 services137 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
100 services100 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
77 services52 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
73 services34 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
70 services38 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 16

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

Anesthesiology
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 0801
SAN DIEGO, CA 92103
Ophthalmology
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 8201
SAN DIEGO, CA 92103
Psychiatry & Neurology (Neurology)
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 8201
SAN DIEGO, CA 92103
Psychiatry & Neurology (Psychiatry)
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 8201
SAN DIEGO, CA 92103
Anesthesiology
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 0801
SAN DIEGO, CA 92103
Anesthesiology
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 0801
SAN DIEGO, CA 92103
Clinical Neuropsychologist
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 8201
SAN DIEGO, CA 92103
Anesthesiology
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 0801
SAN DIEGO, CA 92103

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 Mark Wallace's NPI number?

The NPI number for Mark Wallace is 1427098102. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Mark Wallace located?

Mark Wallace practices at Ucsd Medical Center 200 West Arbor Drive Mc 0801, San Diego, CA 92103. The listed phone number is (619) 543-5720.

What is Mark Wallace's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Mark Wallace enrolled in Medicare?

Yes. Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Wallace was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.