DR. MATTHEW TRISTAN WALLACE M.D.
NPI 1609012731
Orthopaedic Surgery in Baltimore, MD
About Dr. Matthew Tristan Wallace M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MATTHEW TRISTAN WALLACE M.D. (NPI 1609012731) is an individual orthopaedic surgery provider in Baltimore, Maryland, licensed in District Of Columbia (PENDING) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Dell Seton Med Center At The University Of Tx, and is a graduate of Emory University School Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Matthew Tristan 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.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austin, TX 78758
- Reassigned Medicare billing, Texas enrollment
- 1,188 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Dell Seton Med Center At The University Of Tx
Acute Care Hospitals · Austin, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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 Matthew Wallace's NPI number?
The NPI number for Matthew Wallace is 1609012731. It was assigned to this individual provider in the NPPES registry on December 19, 2008.
Where is Matthew Wallace located?
Matthew Wallace practices at 701 Kingston Rd, Baltimore, MD 21212. The listed phone number is (410) 377-7658.
What is Matthew Wallace's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Matthew Wallace enrolled in Medicare?
Yes. Matthew 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.
Which organization bills Medicare for Matthew Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Wallace reassigns Medicare benefits to Seton Family Of Doctors (Austin, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Wallace accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Matthew 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 Matthew Wallace affiliated with any hospitals?
According to CMS data, Matthew Wallace is affiliated with Dell Seton Med Center At The University Of Tx.
When was this NPI record last updated?
The NPPES record for Matthew Wallace was last updated on December 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. Matthew Tristan Wallace, M.D. · NPI 1609012731
Orthopaedic Surgery physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since December 19, 2008.
## Identity
- **NPI:** 1609012731 (Entity type: Individual)
- **Enumerated:** December 19, 2008
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** PENDING (District of Columbia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 701 KINGSTON RD, Baltimore, MD 21212-1939
- **Phone:** (410) 377-7658
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Seton Family Of Doctors (NPI 1225644065, Austin, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 2008
## Record status
- **NPPES last updated:** December 19, 2008
---
Source: [NPI Profile](https://npiprofile.com/npi/1609012731) · Data from the CMS NPPES public registry.