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WALLIS OLIVIA EDWARDS MD
NPI 1427676113
Family Medicine in Zion, IL

Active since July 08, 2020PECOS EnrolledAccepts Medicare Assignment
89.41/100
CMS Quality Rating
2723 SHERIDAN RD STE C, ZION, IL 60099(847) 360-4260(847) 360-4159 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2023, Jul 8, 2020 (2 updates tracked since 2020).

About Wallis Olivia Edwards Md NPPES

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

WALLIS OLIVIA EDWARDS MD (NPI 1427676113) is an individual family medicine provider in Zion, Illinois, licensed in Illinois (036163896) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Vista Medical Center East, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427676113
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameWALLIS OLIVIA EDWARDSCredential: MD
Location Address2723 SHERIDAN RD STE CZion, IL 60099-2616
Mailing Address1324 N Sheridan RdWaukegan, IL 60085-2161 · (847) 599-4856
Phone(847) 360-4260
Fax(847) 360-4159
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 8, 2020
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1427676113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036163896
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2723 SHERIDAN RD STE C, Zion, IL 60099
Open in Google Maps ↗

Secondary Practice Locations 2

Location 115 Tower Ct Ste 210Gurnee, IL 60031-3355 · Phone (847) 599-1444 · Fax (847) 599-1665
Location 22400 W Villard AveMilwaukee, WI 53209-4901 · Phone (414) 527-8191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Wallis Olivia Edwards 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 ID5991174310
PECOS Enrollment IDI20230613003783
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 8

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.
403 services188 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
84 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
77 services77 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
71 services71 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
70 services70 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
67 services67 patients

Hospital Affiliations CMS Care Compare 3

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

Vista Medical Center East

Acute Care Hospitals · Waukegan, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140084
Location1324 North Sheridan RoadWaukegan, IL 60085 · Lake County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140202
Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60099 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

89.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.66
Promoting Interoperability100
Improvement Activities40
Cost71.14

Other Providers at the Same Location NPPES

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

UDAY K PAUL MD
Internal Medicine
2723 SHERIDAN RD STE C
ZION, IL 60099
Lake County (847) 360-4260

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 Wallis Edwards's NPI number?

The NPI number for Wallis Edwards is 1427676113. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Where is Wallis Edwards located?

Wallis Edwards practices at 2723 Sheridan Rd Ste C, Zion, IL 60099. The listed phone number is (847) 360-4260.

What is Wallis Edwards's specialty?

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

Is Wallis Edwards enrolled in Medicare?

Yes. Wallis Edwards 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 Wallis Edwards accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Wallis Edwards 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.

Is Wallis Edwards affiliated with any hospitals?

According to CMS data, Wallis Edwards is affiliated with Vista Medical Center East, Northwestern Lake Forest Hospital and Advocate Condell Medical Center.

When was this NPI record last updated?

The NPPES record for Wallis Edwards was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.