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WILLIAM C WALLACE MD
NPI 1619937851
Family Medicine in Huntington, WV

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
1600 MEDICAL CENTER DR, SUITE G500, HUNTINGTON, WV 25701(304) 691-1262 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William C Wallace Md NPPES

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

WILLIAM C WALLACE MD (NPI 1619937851) is an individual family medicine provider in Huntington, West Virginia, licensed in West Virginia (21450) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2001).

NPPES Registry Identity

NPI1619937851
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM C WALLACECredential: MD
Location Address1600 MEDICAL CENTER DR, SUITE G500Huntington, WV 25701-3656
Mailing Address1600 Medical Center Dr, Suite G500Huntington, WV 25701-3656 · (304) 691-1262
Phone(304) 691-1262
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2001
Enumeration DateMarch 23, 2006
Last NPPES UpdateNovember 17, 2021
NPPES CertifiedNovember 17, 2021
✔ NPI 1619937851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 21450
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1600 MEDICAL CENTER DR, Huntington, WV 25701
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Other Identifiers 3

Medicaid2583128OH
Medicaid3810000190WV
Medicaid64082704KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

William C 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 ID2567449770
PECOS Enrollment IDI20040706001089
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 4

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.

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.
262 services245 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
82 services82 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
79 services78 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360054
Location100 Jackson PikeGallipolis, OH 45631 · Gallia County
Emergency services Birthing friendly

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510007
Location2900 1st AvenueHuntington, WV 25702 · Cabell County
Emergency services

Cabell Huntington Hospital, Inc

Acute Care Hospitals · Huntington, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510055
Location1340 Hal Greer BoulevardHuntington, WV 25701 · Cabell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers40 claims40 services$45.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KATHERINE STEELE MD
Family Medicine
1600 MEDICAL CENTER DR, SUITE 1500
HUNTINGTON, WV 25701
Cabell County (304) 691-1100
MIKAYLA MYERS MD
Student in an Organized Health Care Education/Training Program
1600 MEDICAL CENTER DR
HUNTINGTON, WV 25701
Cabell County (304) 691-1824
DANIELL COWELL MD
Psychiatry & Neurology (Psychiatry)
1600 MEDICAL CENTER DR, SUITE B500
HUNTINGTON, WV 25701
Cabell County (304) 691-1500
DR. THOMAS H DOUGHERTY MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 MEDICAL CENTER DR, SUITE B510
HUNTINGTON, WV 25701
Cabell County (304) 691-8850
ANDREW MCFALL
Student in an Organized Health Care Education/Training Program
1600 MEDICAL CENTER DR
HUNTINGTON, WV 25701
Cabell County (304) 691-1165
SHELLEY ST CLAIR MD
Student in an Organized Health Care Education/Training Program
1600 MEDICAL CENTER DR
HUNTINGTON, WV 25701
Cabell County (304) 691-1824
SHERRIE N MIRANDA MD
Pediatrics
1600 MEDICAL CENTER DR, SUITE 3500
HUNTINGTON, WV 25701
Cabell County (304) 691-1300
JESSIE SHIELDS MD
Pediatrics
1600 MEDICAL CENTER DR, SUTIE 3500
HUNTINGTON, WV 25701
Cabell County (304) 691-1300

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 William Wallace's NPI number?

The NPI number for William Wallace is 1619937851. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is William Wallace located?

William Wallace practices at 1600 Medical Center Dr Suite G500, Huntington, WV 25701. The listed phone number is (304) 691-1262.

What is William Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Wallace enrolled in Medicare?

Yes. William 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 William Wallace accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list William 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 William Wallace affiliated with any hospitals?

According to CMS data, William Wallace is affiliated with Holzer Medical Center, St Mary's Medical Center and Cabell Huntington Hospital, Inc.

When was this NPI record last updated?

The NPPES record for William Wallace was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.