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RAYMOND B WALLACE D.O.
NPI 1437181153
Emergency Medicine in Milwaukee, WI

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
68.74/100
CMS Quality Rating
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202(414) 290-6720(414) 290-6755 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Raymond B Wallace D.o. NPPES

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

RAYMOND B WALLACE D.O. (NPI 1437181153) is an individual emergency medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (44478-021) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Mid West Medical College (1994).

NPPES Registry Identity

NPI1437181153
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRAYMOND B WALLACECredential: D.O.
Location Address111 E WISCONSIN AVE, SUITE 2000Milwaukee, WI 53202-4815
Mailing Address1700 Coral Dr, Ste AWaukesha, WI 53186-1483 · (414) 290-6720 · Fax (414) 290-6755
Phone(414) 290-6720
Fax(414) 290-6755
Sole ProprietorNo
Medical School CMSMid West Medical CollegeGraduated 1994
Enumeration DateJuly 6, 2006
Last NPPES UpdateSeptember 26, 2016
✔ NPI 1437181153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 44478-021
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
111 E WISCONSIN AVE, Milwaukee, WI 53202
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Other Identifiers 5

Medicare ID-Type Unspecified0097-01400WI
Medicare UPING23677
Medicare ID-Type Unspecified0097-68655WI
Other930122235WI · Medicare Railroad
Medicaid43500600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Raymond B Wallace D.o. 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 ID8921161001
PECOS Enrollment IDI20180102000337
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 2

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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
59 services50 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
43 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53202 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

68.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.3
Promoting Interoperability100
Improvement Activities40
Cost11.95

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.

ADAM C ANKRUM D.O.
Emergency Medicine
111 E WISCONSIN AVE, SUITE 2000
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
ROBERT J HALLOCK M.D.
Emergency Medicine
111 E WISCONSIN AVE, SUITE 2000
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
ANDREA D GRANSEE APNP
Nurse Practitioner
111 E WISCONSIN AVE, SUITE 2000
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
DR. ANDREW W HARRON D.O.
Radiology (Diagnostic Radiology)
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
WILLIAM T TUCKER M.D.
Emergency Medicine
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
TERRANCE L OTZELBERGER PA-C
Physician Assistant
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
JULIE A BURANOSKY M.D.
Emergency Medicine
111 E WISCONSIN AVE, SUITE 2000
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
STEVEN S KANTOR M.D.
Emergency Medicine
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720

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 Raymond Wallace's NPI number?

The NPI number for Raymond Wallace is 1437181153. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Raymond Wallace located?

Raymond Wallace practices at 111 E Wisconsin Ave Suite 2000, Milwaukee, WI 53202. The listed phone number is (414) 290-6720.

What is Raymond Wallace's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Raymond Wallace enrolled in Medicare?

Yes. Raymond 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 Raymond Wallace accept?

Health plans from Blue Cross Blue Shield of Arizona list Raymond 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 Raymond Wallace was last updated on September 26, 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.