DR. ERIC L WALLACE D.O.
NPI 1568658243
Internal Medicine - Interventional Cardiology in Coeur D Alene, ID

Active since September 17, 2007PECOS EnrolledAccepts Medicare Assignment
700 W IRONWOOD DR, 320, COEUR D ALENE, ID 83814(208) 625-5250 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2025, Aug 7, 2024, Dec 31, 2015 (3 updates tracked since 2015).

About Dr. Eric L Wallace D.o. NPPES

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

DR. ERIC L WALLACE D.O. (NPI 1568658243) is an individual interventional cardiology provider in Coeur D Alene, Idaho, licensed in Idaho (O-0839) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with St Joseph Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568658243
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. ERIC L WALLACECredential: D.O.
Location Address700 W IRONWOOD DR, 320Coeur D Alene, ID 83814-2656
Mailing Address700 W Ironwood Dr, 320Coeur D Alene, ID 83814-2656 · (208) 625-5250
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 17, 2007
Last NPPES UpdateJuly 25, 20253 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
NPI 1568658243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses Licensed in ID · O-0839 Licensed in WA · OP60505950
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 03263 (KY), 2007-014326 (NC)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License O0839 (ID)
700 W IRONWOOD DR, Coeur D Alene, ID 83814

Secondary Practice Locations 2

Location 1415 6TH STLewiston, ID 83501 · Phone (208) 750-7507
Location 22003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · Phone (208) 625-5084

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

Dr. Eric L Wallace D.o. 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 ID6709939291
PECOS Enrollment IDI20150519002539
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 51

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
593 services569 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
451 services390 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.
292 services266 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.
148 services63 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.
138 services130 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
137 services137 patients

Hospital Affiliations CMS Care Compare 5

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

St Joseph Regional Medical Center

Acute Care Hospitals · Lewiston, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130003
Location415 Sixth StreetLewiston, ID 83501 · Nez Perce County
Emergency services Birthing friendly

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Clearwater Valley Hospital & Clinics

Critical Access Hospitals · Orofino, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131320
Location301 Cedar StreetOrofino, ID 83544 · Clearwater County
Emergency services

St Marys Hospital And Clinics

Critical Access Hospitals · Cottonwood, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131321
Location701 Lewiston StCottonwood, ID 83522 · Idaho County
Emergency services

Gritman Medical Center

Critical Access Hospitals · Moscow, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131327
Location700 South Main StreetMoscow, ID 83843 · Latah County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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.

Pediatrics
700 W IRONWOOD DR, SUITE 155
COEUR D ALENE, ID 83814
Otolaryngology
700 W IRONWOOD DR, STE 236
COEUR D ALENE, ID 83814
Pharmacist
700 W IRONWOOD DR
COEUR D ALENE, ID 83814
Pharmacist (Ambulatory Care)
700 W IRONWOOD DR, SUITE 228
COEUR D ALENE, ID 83814
Pediatrics
700 W IRONWOOD DR, SUITE 155
COEUR D ALENE, ID 83814
Audiologist (Assistive Technology Supplier)
700 W IRONWOOD DR, SUITE 236
COEUR D ALENE, ID 83814
Pharmacy (Clinic Pharmacy)
700 W IRONWOOD DR
COEUR D ALENE, ID 83814
Radiology (Radiation Oncology)
700 W IRONWOOD DR
COEUR D ALENE, ID 83814

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 Eric Wallace's NPI number?

The NPI number for Eric Wallace is 1568658243. It was assigned to this individual provider in the NPPES registry on September 17, 2007.

Where is Eric Wallace located?

Eric Wallace practices at 700 W Ironwood Dr 320, Coeur D Alene, ID 83814. The listed phone number is (208) 625-5250.

What is Eric Wallace's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Eric Wallace enrolled in Medicare?

Yes. Eric 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 Eric Wallace accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Eric 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.

Is Eric Wallace affiliated with any hospitals?

According to CMS data, Eric Wallace is affiliated with St Joseph Regional Medical Center, Kootenai Health, Clearwater Valley Hospital & Clinics, St Marys Hospital And Clinics and Gritman Medical Center.

When was this NPI record last updated?

The NPPES record for Eric Wallace was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.