JEFFREY LEIGH WALLACE MD
NPI 1548262108
Surgery in Fairhope, AL

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment
81.6/100
CMS Quality Rating
411 N SECTION ST, FAIRHOPE, AL 36532(251) 928-9090(251) 990-0520 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 10, 2016, Oct 1, 2015 (2 updates tracked since 2015).

About Jeffrey Leigh Wallace Md NPPES

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

JEFFREY LEIGH WALLACE MD (NPI 1548262108) is an individual surgery provider in Fairhope, Alabama, licensed in Alabama (29105) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1976).

NPPES Registry Identity

NPI1548262108
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJEFFREY LEIGH WALLACECredential: MD
Location Address411 N SECTION STFairhope, AL 36532-2649
Mailing Address104 Pinetop CircleFairhope, AL 36532 · (251) 725-2050
Fax(251) 990-0520
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1976
Enumeration DateAugust 12, 2005
Last NPPES UpdateOctober 10, 20162 updates tracked since enumeration
NPI 1548262108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in AL · 29105
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License 29105 (AL)
Also ListedGeneral PracticeTaxonomy 208D00000X · License MD29105 (AL)
411 N SECTION ST, Fairhope, AL 36532

Other Identifiers 6

Medicaid3-187746TN
Medicare ID-Type Unspecified3-187746TN
Medicare UPINB04291
Medicaid1548262108AL
Medicaid1407812001AL
Medicare PIN102I028950AL

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

Jeffrey Leigh Wallace Md 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 ID7719934769
PECOS Enrollment IDI20100202000687
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 24

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
394 services89 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
380 services104 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
333 services69 patients
Application of chemical to stop tissue regrowth in wound 17250
This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.
212 services41 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
175 services37 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
151 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36532 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
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

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.

81.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.44
Promoting Interoperability100
Improvement Activities40
Cost29.89

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.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims194 services$6.19 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier30 claims723 services$0.92 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 14

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

Nurse Anesthetist, Certified Registered
411 N SECTION ST
FAIRHOPE, AL 36532
Audiologist (Assistive Technology Supplier)
411 N SECTION ST
FAIRHOPE, AL 36532
Ophthalmology
411 N SECTION ST
FAIRHOPE, AL 36532
Family Medicine
411 N SECTION ST
FAIRHOPE, AL 36532
Ophthalmology
411 N SECTION ST
FAIRHOPE, AL 36532
Plastic Surgery
411 N SECTION ST
FAIRHOPE, AL 36532
Physician Assistant (Medical)
411 N SECTION ST
FAIRHOPE, AL 36532
Clinic/Center (Ambulatory Surgical)
411 N SECTION ST
FAIRHOPE, AL 36532

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548262108, enumerated as an "individual" on August 12, 2005.

The provider is located at 411 N SECTION ST FAIRHOPE, AL 36532 and the phone number is (251) 928-9090.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Oscar. Please consult your insurance carrier or call the provider to verify.