KARA WALLACE M.D.
NPI 1487844643
Family Medicine in Huntsville, AL

Active since July 25, 2007PECOS EnrolledAccepts Medicare Assignment
94.63/100
CMS Quality Rating
4650 WHITESBURG DR SW, SUITE 204, HUNTSVILLE, AL 35802(256) 533-5211(256) 533-5084 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kara Wallace M.d. NPPES

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

KARA WALLACE M.D. (NPI 1487844643) is an individual family medicine provider in Huntsville, Alabama, licensed in Alabama (23260) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1996).

NPPES Registry Identity

NPI1487844643
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKARA WALLACECredential: M.D.
Location Address4650 WHITESBURG DR SW, SUITE 204Huntsville, AL 35802-1670
Mailing Address4650 Whitesburg Dr Sw, Suite 204Huntsville, AL 35802-1670 · (256) 533-5211 · Fax (256) 533-5084
Fax(256) 533-5084
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1996
Enumeration DateJuly 25, 2007
Last NPPES UpdateMarch 24, 2016
NPI 1487844643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · 23260
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.
4650 WHITESBURG DR SW, Huntsville, AL 35802

Other Identifiers 4

Medicare UPINH13824AL
Other510G700152Mc Ptan
Other51510722AL · Bcbs Of Alabama Pin
Medicare PIN051510722AL

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

Kara Wallace 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 ID6800997693
PECOS Enrollment IDI20070724000190
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 01D1057434

Kara Wallace MD PC · Huntsville, AL
Expired · Aug 10, 2026
CLIA Number01D1057434
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2024
Certificate Expiration DateAugust 10, 2026
Laboratory DirectorKara Wallace MD
Laboratory Phone(256) 533-5211
Laboratory LocationKara Wallace MD PC4650 Whitesburg Dr Suite 204, Huntsville, AL 35802
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 17

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.

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
544 services40 patients
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.
404 services188 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
390 services42 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
317 services17 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
265 services33 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
238 services120 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35802 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

94.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.27
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
91%259 patients4/55-star benchmark: 93%
Cervical Cancer Screening
74%238 patients4/55-star benchmark: 98%
Chlamydia Screening for Women
25%40 patients
Colorectal Cancer Screening
87%493 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
80%340 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
70%124 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
11%124 patients4/55-star benchmark: 91%
e-Prescribing
97%1,024 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
73%381 patients3/55-star benchmark: 100%
HIV Screening
7%453 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%789 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
68%572 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%1,291 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 753 patients
Patients screened: 100% · 753 patients
70%47 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
91%423 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%306 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers23 claims43 services$6.42 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers22 claims22 services$191.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
4650 WHITESBURG DR SW, SUITE 204
HUNTSVILLE, AL 35802
Nurse Practitioner (Family)
4650 WHITESBURG DR SW, SUITE 204
HUNTSVILLE, AL 35802
Family Medicine
4650 WHITESBURG DR SW, SUITE 204
HUNTSVILLE, AL 35802

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 Kara Wallace's NPI number?

The NPI number for Kara Wallace is 1487844643. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Kara Wallace located?

Kara Wallace practices at 4650 Whitesburg Dr SW Suite 204, Huntsville, AL 35802. The listed phone number is (256) 533-5211.

What is Kara Wallace's specialty?

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

Is Kara Wallace enrolled in Medicare?

Yes. Kara 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 Kara Wallace accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Kara 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 Kara Wallace was last updated on March 24, 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.