ERIC WALLACE MD
NPI 1578502191
Radiology - Diagnostic Radiology in Ventura, CA

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
168 N BRENT ST, SUITE 402, VENTURA, CA 93003(888) 234-0004(805) 641-3965 Get Directions Write a Review

NPPES record last updated: November 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eric Wallace Md NPPES

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

ERIC WALLACE MD (NPI 1578502191) is an individual diagnostic radiology provider in Ventura, California, licensed in California (A85195) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and is a graduate of Loma Linda University School Of Medicine (1999).

NPPES Registry Identity

NPI1578502191
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameERIC WALLACECredential: MD
Location Address168 N BRENT ST, SUITE 402Ventura, CA 93003-2817
Mailing Address4100 Guardian St, Ste 205Simi Valley, CA 93063-6721 · (855) 504-4544 · Fax (855) 577-2018
Fax(805) 641-3965
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1999
Enumeration DateJune 6, 2006
Last NPPES UpdateNovember 14, 2017
NPI 1578502191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · A85195
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
168 N BRENT ST, Ventura, CA 93003

Other Identifiers 5

Medicare PINWA85195ACA
Medicare PINP00232102CA
Medicare UPINI30144
Other00A851950CA · Blueshield Of Ca
Medicaid00A851950CA

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

Eric 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 ID3577506690
PECOS Enrollment IDI20210317001829, I20210323002609
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 70

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
7,900 services51 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
505 services21 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
301 services275 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
167 services166 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
138 services135 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
107 services104 patients

Hospital Affiliations CMS Care Compare 4

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Island Hospital

Acute Care Hospitals · Anacortes, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500007
Location1211 24th StreetAnacortes, WA 98221 · Skagit County
Emergency services Birthing friendly

Cascade Valley Hospital

Acute Care Hospitals · Arlington, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500060
Location330 S Stillaguamish AveArlington, WA 98223 · Snohomish County
Emergency services Birthing friendly

Whidbeyhealth Medical Center

Critical Access Hospitals · Coupeville, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501339
Location101 North Main StreetCoupeville, WA 98239 · Island County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

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.

Neurological Surgery
168 N BRENT ST, SUITE 408
VENTURA, CA 93003
Family Medicine
168 N BRENT ST, STE 502
VENTURA, CA 93003
Family Medicine
168 N BRENT ST, STE 502
VENTURA, CA 93003
Neurological Surgery
168 N BRENT ST, SUITE 408
VENTURA, CA 93003
Orthopaedic Surgery (Sports Medicine)
168 N BRENT ST, 505
VENTURA, CA 93003
Registered Nurse
168 N BRENT ST, 407
VENTURA, CA 93003
Internal Medicine (Gastroenterology)
168 N BRENT ST, STE 404
VENTURA, CA 93003
Nurse Practitioner (Family)
168 N BRENT ST, SUITE 502
VENTURA, CA 93003

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 1578502191. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Eric Wallace located?

Eric Wallace practices at 168 N Brent St Suite 402, Ventura, CA 93003. The listed phone number is (888) 234-0004.

What is Eric Wallace's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

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.

Is Eric Wallace affiliated with any hospitals?

According to CMS data, Eric Wallace is affiliated with Skagit Valley Hospital, Island Hospital, Cascade Valley Hospital and Whidbeyhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Eric Wallace was last updated on November 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.