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WALLACE SIGMON MCLAURIN
NPI 1467846824
Oral & Maxillofacial Surgery in Cincinnati, OH

Active since March 24, 2015PECOS Enrolled
222 PIEDMONT AVE, CINCINNATI, OH 45219(513) 475-8783(513) 475-7698 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wallace Sigmon Mclaurin NPPES

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

WALLACE SIGMON MCLAURIN (NPI 1467846824) is an individual oral & maxillofacial surgery provider in Cincinnati, Ohio, licensed in Ohio (30.025891) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brandon.

NPPES Registry Identity

NPI1467846824
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameWALLACE SIGMON MCLAURIN
Location Address222 PIEDMONT AVECincinnati, OH 45219
Mailing Address2830 Victory PkwyCincinnati, OH 45206-1785 · (513) 475-8783 · Fax (513) 475-7698
Phone(513) 475-8783
Fax(513) 475-7698
Sole ProprietorYes
Enumeration DateMarch 24, 2015
Last NPPES UpdateJuly 16, 2019
✔ NPI 1467846824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in OH · 30.025891
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
222 PIEDMONT AVE, Cincinnati, OH 45219
Open in Google Maps ↗

Secondary Practice Location 1

Location 1210 Diamond D Lake RdBrandon, MS 39042-8567 · Phone (601) 259-6739

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wallace Sigmon Mclaurin 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.

Medicare Billing Reassignment

Medicare enrollment records show Wallace Mclaurin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Surgical-Dental Associates, LLC
Same address
Oral & Maxillofacial Surgery
222 PIEDMONT AVE.
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 14 clinicians in this Medicare group
NPI 1649241787 (513) 475-8783

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

BERNICE K KLABEN PH.D.-CCC-SLP-BRS-S
Speech-Language Pathologist
222 PIEDMONT AVE
CINCINNATI, OH 45219
Hamilton County (513) 475-8400
BARBARA RUTH CUNNINGHAM RN
Allergy & Immunology (Clinical & Laboratory Immunology)
222 PIEDMONT AVE, SUITE 5200
CINCINNATI, OH 45219
Hamilton County (513) 475-8400
MRS. CHERYL DOREEN HERRLE CNP
Nurse Practitioner (Gerontology)
222 PIEDMONT AVE
CINCINNATI, OH 45219
Hamilton County (513) 475-7400
REBECCA HARDT CNP
Nurse Practitioner (Adult Health)
222 PIEDMONT AVE
CINCINNATI, OH 45219
Hamilton County (513) 475-7505
MRS. RONDA BAUER
Licensed Practical Nurse
222 PIEDMONT AVE, SUITE 5200
CINCINNATI, OH 45219
Hamilton County (513) 475-7363
CARRIE LYNN JENNINGS CNP
Nurse Practitioner (Family)
222 PIEDMONT AVE
CINCINNATI, OH 45219
Hamilton County (513) 475-7505
ALBERTO ESPAY MD
Psychiatry & Neurology (Neurology)
222 PIEDMONT AVE, SUITE 3200
CINCINNATI, OH 45219
Hamilton County (513) 475-8730
GREGORY WAYNE ROUAN M.D.
Internal Medicine
222 PIEDMONT AVE, STE 6000
CINCINNATI, OH 45219
Hamilton County (513) 475-7880

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 Mclaurin's NPI number?

The NPI number for Wallace Mclaurin is 1467846824. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Where is Wallace Mclaurin located?

Wallace Mclaurin practices at 222 Piedmont Ave, Cincinnati, OH 45219. The listed phone number is (513) 475-8783.

What is Wallace Mclaurin's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Wallace Mclaurin enrolled in Medicare?

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

Which organization bills Medicare for Wallace Mclaurin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wallace Mclaurin reassigns Medicare benefits to University Surgical-Dental Associates, LLC (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wallace Mclaurin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wallace Mclaurin accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource and 14 other insurers list Wallace Mclaurin 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 Wallace Mclaurin was last updated on July 16, 2019. 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.