DR. JEFFREY SAMUEL WALLIS D.M.D.
NPI 1528371507
Dentist - Oral and Maxillofacial Surgery in Cherry Hill, NJ

Q: What is Jeffrey Wallis's NPI number?

The NPI number for Jeffrey Wallis is 1528371507. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Q: What is Jeffrey Wallis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Wallis was last updated on October 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 20, 2010PECOS EnrolledAccepts Medicare Assignment

17 W ORMOND AVE, CHERRY HILL, NJ 08002(856) 428-4445(856) 428-4497 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Dr. Jeffrey Samuel Wallis D.m.d. NPPES

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

DR. JEFFREY SAMUEL WALLIS D.M.D. (NPI 1528371507) is an individual oral and maxillofacial surgery provider in Cherry Hill, New Jersey, licensed in New Jersey (22DI02571300) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1528371507

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. JEFFREY SAMUEL WALLISCredential: D.M.D.

Location Address17 W ORMOND AVECherry Hill, NJ 08002-3041

Mailing Address17 W Ormond AveCherry Hill, NJ 08002-3041 · (856) 428-4445 · Fax (856) 428-4497

Phone(856) 428-4445

Fax(856) 428-4497

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 20, 2010

Last NPPES UpdateOctober 30, 2014

✔ NPI 1528371507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in NJ · 22DI02571300✔ Licensed in PA · DS038160✔ Licensed in NJ · 22DI02571301

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

17 W ORMOND AVE, Cherry Hill, NJ 08002

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Accepted Insurance

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

Dr. Jeffrey Samuel Wallis D.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 ID7416189279

PECOS Enrollment IDI20150608000247

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 5

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.

X-ray of lower jaws, upper jaws and teeth 70355

An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.

85 services84 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

72 services72 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

40 services40 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

28 services28 patients

Removal of growth of mouth with simple repair 40812

This procedure involves the surgical removal of an abnormal growth in the mouth. After the growth is removed, a simple repair is done to heal the area. This can include stitches or other methods to close the wound, promoting quick and effective healing.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390006

Location100 North Academy AvenueDanville, PA 17822 · Montour County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08002 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

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 8

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

DR. SHARIQ A VAZIR DDS

Dentist (Oral and Maxillofacial Surgery)