DAVID WALLACE M.D.
NPI 1609804525
Internal Medicine - Cardiovascular Disease in Belleville, IL

Active since June 29, 2006PECOS Enrolled
340 W LINCOLN ST, BELLEVILLE, IL 62220(618) 233-6044(618) 233-3287 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About David Wallace M.d. NPPES

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

DAVID WALLACE M.D. (NPI 1609804525) is an individual cardiovascular disease provider in Belleville, Illinois, licensed in Illinois (036092919) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609804525
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDAVID WALLACECredential: M.D.
Location Address340 W LINCOLN STBelleville, IL 62220-1900
Mailing Address340 W Lincoln StBelleville, IL 62220-1900 · (618) 233-6044 · Fax (618) 233-3287
Fax(618) 233-3287
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateApril 17, 2017
NPI 1609804525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IL · 036092919
Definition

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.

340 W LINCOLN ST, Belleville, IL 62220

Other Identifiers 17

Other37099690008Ghp
Medicare PINR03182IL
Other54656Cmr
Medicare UPINE43629IL
Other093355Health Alliance
Other235649Wellcare
Other107076MO · Bcbs Mo
Other12269Essence
Other235649Healthlink
Medicaid0360929191IL
Other060046618Rr Medicare
Medicare PIN596500012IL
Other2501200Secure Horizons
OtherP01024928IL · Railroad
Other1734162Uhc
OtherE43629Mercy
Medicaid205943608MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Wallace M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62220 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

Other Providers at the Same Location NPPES 18

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

Obstetrics & Gynecology
340 W LINCOLN ST, STE 560
BELLEVILLE, IL 62220
Physician Assistant (Medical)
340 W LINCOLN ST
BELLEVILLE, IL 62220
Surgery
340 W LINCOLN ST, SUITE 500
BELLEVILLE, IL 62220
Surgery
340 W LINCOLN ST, SUITE 500
BELLEVILLE, IL 62220
Physician Assistant (Medical)
340 W LINCOLN ST
BELLEVILLE, IL 62220
Neurological Surgery
340 W LINCOLN ST, SUITE 540
BELLEVILLE, IL 62220
Physician Assistant (Medical)
340 W LINCOLN ST
BELLEVILLE, IL 62220
Internal Medicine (Cardiovascular Disease)
340 W LINCOLN ST
BELLEVILLE, IL 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: Medicare, Medicaid, Wellcare, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.