WALLACE LOCK M.D.
NPI 1437545761
Emergency Medicine in Fort Smith, AR

Active since April 14, 2015PECOS EnrolledAccepts Medicare Assignment
612 S 12TH ST, FORT SMITH, AR 72901(479) 424-3193 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2024, Oct 27, 2016 (2 updates tracked since 2016).

About Wallace Lock M.d. NPPES

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

WALLACE LOCK M.D. (NPI 1437545761) is an individual emergency medicine provider in Fort Smith, Arkansas, licensed in Tennessee (67669) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Methodist Healthcare - Olive Branch Hospital, and is a graduate of University Of Arkansas College Of Medicine (2015).

NPPES Registry Identity

NPI1437545761
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameWALLACE LOCKCredential: M.D.
Location Address612 S 12TH STFort Smith, AR 72901-4702
Mailing Address111 N 1st StHughes, AR 72348-9100 · (901) 481-0927
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2015
Enumeration DateApril 14, 2015
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
NPI 1437545761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in TN · 67669 Licensed in AR · E-10064
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.

612 S 12TH ST, Fort Smith, AR 72901

Accepted 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

Wallace Lock M.d. 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 ID8527373398
PECOS Enrollment IDI20161025000574, I20240123000031, I20240130002802
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
252 services225 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
168 services135 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.
72 services72 patients

Hospital Affiliations CMS Care Compare

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

Methodist Healthcare - Olive Branch Hospital

Acute Care Hospitals · Olive Branch, MS
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250167
Location4250 Bethel RoadOlive Branch, MS 38654 · De Soto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72901 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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.

Social Worker (Clinical)
612 S 12TH ST
FORT SMITH, AR 72901
Nurse Practitioner (Family)
612 S 12TH ST
FORT SMITH, AR 72901
Nurse Practitioner (Family)
612 S 12TH ST
FORT SMITH, AR 72901
Nurse Practitioner
612 S 12TH ST
FORT SMITH, AR 72901
Family Medicine
612 S 12TH ST
FORT SMITH, AR 72901
Student in an Organized Health Care Education/Training Program
612 S 12TH ST
FORT SMITH, AR 72901
Family Medicine
612 S 12TH ST
FORT SMITH, AR 72901
Family Medicine
612 S 12TH ST
FORT SMITH, AR 72901

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 Wallace Lock's NPI number?

The NPI number for Wallace Lock is 1437545761. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Where is Wallace Lock located?

Wallace Lock practices at 612 S 12th St, Fort Smith, AR 72901. The listed phone number is (479) 424-3193.

What is Wallace Lock's specialty?

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

Is Wallace Lock enrolled in Medicare?

Yes. Wallace Lock 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 Wallace Lock accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Wallace Lock 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 Wallace Lock affiliated with any hospitals?

According to CMS data, Wallace Lock is affiliated with Methodist Healthcare - Olive Branch Hospital.

When was this NPI record last updated?

The NPPES record for Wallace Lock was last updated on April 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.