DAVID WALLACE M.D.
NPI 1609804525
Internal Medicine - Cardiovascular Disease in Belleville, IL
NPI Status: Active since June 29, 2006
Contact Information
340 W LINCOLN ST
BELLEVILLE, IL
ZIP 62220
Phone: (618) 233-6044
Fax: (618) 233-3287
- Individual
- Male
- Internal Medicine
- Cardiovascular Disease
- Accepts Insurance
- PECOS Enrolled
About DAVID WALLACE
This page provides the complete NPI Profile along with additional information for David Wallace, an internist established in Belleville, Illinois with a medical specialization in Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1609804525 assigned on June 2006. The practitioner's primary taxonomy code is 207RC0000X with license number 036092919 (IL). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1609804525
- Provider Name
- DAVID WALLACE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 340 W LINCOLN ST BELLEVILLE, IL 62220
- Location Phone
- (618) 233-6044
- Location Fax
- (618) 233-3287
- Mailing Address
- 340 W LINCOLN ST BELLEVILLE, IL 62220
- Mailing Phone
- (618) 233-6044
- Mailing Fax
- (618) 233-3287
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-29-2006
- Last Update Date
- 04-17-2017
- Code Navigator
An internist like David Wallace is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036092919
- License State
- IL
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 37099690008 | OTHER (01) | GHP | |
| R03182 | MEDICARE PIN (08) | IL | |
| 54656 | OTHER (01) | CMR | |
| E43629 | MEDICARE UPIN (02) | IL | |
| 093355 | OTHER (01) | HEALTH ALLIANCE | |
| 235649 | OTHER (01) | WELLCARE | |
| 107076 | OTHER (01) | MO | BCBS MO |
| 12269 | OTHER (01) | ESSENCE | |
| 235649 | OTHER (01) | HEALTHLINK | |
| 0360929191 | MEDICAID (05) | IL | |
| 060046618 | OTHER (01) | RR MEDICARE | |
| 596500012 | MEDICARE PIN (08) | IL | |
| 2501200 | OTHER (01) | SECURE HORIZONS | |
| P01024928 | OTHER (01) | IL | RAILROAD |
| 1734162 | OTHER (01) | UHC | |
| E43629 | OTHER (01) | MERCY | |
| 205943608 | MEDICAID (05) | MO |
Medicare Participation & PECOS Enrollment Status
David Wallace is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 62220 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $131.14
- Minimum New Patient Price $56.28
- Maximum New Patient Price $173.35
- Average New Patient Copayment $32.78
- Minimum New Patient Copayment $14.07
- Maximum New Patient Copayment $43.33
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.42
- Minimum Established Patient Price $17.51
- Maximum Established Patient Price $139.99
- Average Established Patient Copayment $17.6
- Minimum Established Patient Copayment $4.37
- Maximum Established Patient Copayment $34.99
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DAVID WALLACE M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 8 | 0 | 4 | 5 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 16 | 0 | 8 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 1 + 6 + 0 + 8 + 5 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1609804525 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
JOHN A. HUCKER M.D.
Obstetrics & Gynecology
340 W LINCOLN ST
STE 560
BELLEVILLE, IL
ZIP 62220
KATHLEEN KEITHLEY PA-C
Physician Assistant
(Medical)
340 W LINCOLN ST
BELLEVILLE, IL
ZIP 62220
DR. BERNARD SZOPA M.D.
Surgery
340 W LINCOLN ST
SUITE 500
BELLEVILLE, IL
ZIP 62220
DR. JAY W HAINES II M.D.
Surgery
340 W LINCOLN ST
SUITE 500
BELLEVILLE, IL
ZIP 62220
TERENCE PATRICK WADE M.D.
Surgery
340 W LINCOLN ST
SUITE 500
BELLEVILLE, IL
ZIP 62220
COURTNEY DORAN I PA
Physician Assistant
(Medical)
340 W LINCOLN ST
BELLEVILLE, IL
ZIP 62220
NICHOLAS E POULOS MD
Neurological Surgery
340 W LINCOLN ST
SUITE 540
BELLEVILLE, IL
ZIP 62220
ELIZABETH CUE CYRUS P.A.
Physician Assistant
(Medical)
340 W LINCOLN ST
BELLEVILLE, IL
ZIP 62220
CARDIOLOGY CONSULTANTS LTD
Internal Medicine
(Cardiovascular Disease)
340 W LINCOLN ST
BELLEVILLE, IL
ZIP 62220
DESIREE Y MILLER PA-C
Physician Assistant
340 W LINCOLN ST
SUITE#300
BELLEVILLE, IL
ZIP 62220
HENRY MATTIS M.D.
Internal Medicine
(Cardiovascular Disease)
340 W LINCOLN ST
BELLEVILLE, IL
ZIP 62220
AMELIA GERKE PA-C
Physician Assistant
340 W LINCOLN ST
SUITE 540
BELLEVILLE, IL
ZIP 62220
ELIZABETH RENAKER-JANSEN DO
Plastic Surgery
340 W LINCOLN ST
SUITE 500
BELLEVILLE, IL
ZIP 62220
DR. CRAIG S VINCH MD
Internal Medicine
(Cardiovascular Disease)
340 W LINCOLN ST
STE. 400
BELLEVILLE, IL
ZIP 62220
ROOP LAL M.D.
Internal Medicine
(Cardiovascular Disease)
340 W LINCOLN ST
BELLEVILLE, IL
ZIP 62220
JEAN SCHUMAKER PAC
Physician Assistant
(Medical)
340 W LINCOLN ST
SUITE 540
BELLEVILLE, IL
ZIP 62220
VIDYA SHANKARAN MD
Plastic Surgery
340 W LINCOLN ST
STE 500
BELLEVILLE, IL
ZIP 62220
LINCOLN SURGICAL GROUP
Surgery
340 W LINCOLN ST
SUITE 500
BELLEVILLE, IL
ZIP 62220
GIRISH R MOOD MD
Internal Medicine
(Interventional Cardiology)
340 W LINCOLN ST
SUITE 400
BELLEVILLE, IL
ZIP 62220
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609804525, enumerated as an "individual" on June 29, 2006.
The provider is located at 340 W LINCOLN ST BELLEVILLE, IL 62220 and the phone number is (618) 233-6044.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medicare,. Please consult your insurance carrier or call the provider to verify.
