GREGORY N WALLINGFORD MD, MBA
NPI 1467870477
Emergency Medicine - Hospice and Palliative Medicine in Austin, TX

Active since April 07, 2014PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1500 RED RIVER ST, AUSTIN, TX 78701(512) 324-8933 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2021, Apr 11, 2017 (2 updates tracked since 2017).

About Gregory N Wallingford Md, Mba NPPES

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

GREGORY N WALLINGFORD MD, MBA (NPI 1467870477) is an individual hospice and palliative medicine provider in Austin, Texas, licensed in Texas (S5290) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2014).

NPPES Registry Identity

NPI1467870477
Entity TypeIndividualMale
Primary Taxonomy207PH0002X
Provider Legal NameGREGORY N WALLINGFORDCredential: MD, MBA
Location Address1500 RED RIVER STAustin, TX 78701-1918
Mailing Address1601 Trinity StAustin, TX 78712-1765 · (512) 324-8933
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2014
Enumeration DateApril 7, 2014
Last NPPES UpdateApril 20, 20212 updates tracked since enumeration
NPPES CertifiedApril 20, 2021
NPI 1467870477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PH0002X
License Licensed in TX · S5290
Definition

An emergency medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedEmergency MedicineTaxonomy 207P00000X · License MD460183 (PA)
1500 RED RIVER ST, Austin, TX 78701

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

Gregory N Wallingford Md, Mba 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 ID6709153174
PECOS Enrollment IDI20211103002484
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78701 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

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.

Psychiatry & Neurology (Neurology)
1500 RED RIVER ST
AUSTIN, TX 78701
Pharmacist
1500 RED RIVER ST
AUSTIN, TX 78701
Nurse Practitioner (Family)
1500 RED RIVER ST
AUSTIN, TX 78701
Psychiatry & Neurology (Neurology)
1500 RED RIVER ST
AUSTIN, TX 78701
Surgery
1500 RED RIVER ST
AUSTIN, TX 78701
Emergency Medicine
1500 RED RIVER ST
AUSTIN, TX 78701
Psychiatry & Neurology (Psychiatry)
1500 RED RIVER ST
AUSTIN, TX 78701
Physician Assistant
1500 RED RIVER ST
AUSTIN, TX 78701

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 Gregory Wallingford's NPI number?

The NPI number for Gregory Wallingford is 1467870477. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Gregory Wallingford located?

Gregory Wallingford practices at 1500 Red River St, Austin, TX 78701. The listed phone number is (512) 324-8933.

What is Gregory Wallingford's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207PH0002X.

Is Gregory Wallingford enrolled in Medicare?

Yes. Gregory Wallingford 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 Gregory Wallingford accept?

Health plans from Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Gregory Wallingford 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 Gregory Wallingford affiliated with any hospitals?

According to CMS data, Gregory Wallingford is affiliated with Ascension Seton Medical Center Austin and Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for Gregory Wallingford was last updated on April 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.