PATRICIA A WALLACE MD
NPI 1629162995
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Mission Viejo, CA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
26732 CROWN VALLEY PKWY, SUITE 327, MISSION VIEJO, CA 92691(949) 364-4400(949) 364-2829 Get Directions Write a Review

NPPES record last updated: August 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Patricia A Wallace Md NPPES

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

PATRICIA A WALLACE MD (NPI 1629162995) is an individual urogynecology and reconstructive pelvic surgery provider in Mission Viejo, California, licensed in California (A73003) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (1997).

NPPES Registry Identity

NPI1629162995
Entity TypeIndividualFemale
Primary Taxonomy207VF0040X
Provider Legal NamePATRICIA A WALLACECredential: MD
Location Address26732 CROWN VALLEY PKWY, SUITE 327Mission Viejo, CA 92691-6306
Mailing Address26732 Crown Valley Pkwy, Suite 327Mission Viejo, CA 92691-6306 · (949) 364-4400 · Fax (949) 364-2829
Fax(949) 364-2829
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1997
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 19, 2014
NPI 1629162995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License Licensed in CA · A73003
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedSpecialistTaxonomy 174400000X · License A73003 (CA)
26732 CROWN VALLEY PKWY, Mission Viejo, CA 92691

Other Identifiers 1

Medicare PINWA73003CCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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

Patricia A 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 ID9739128489
PECOS Enrollment IDI20050502000824
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 20

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
2,100 services11 patients
Injection, heparin sodium, per 1000 units J1644
Heparin sodium injection is a blood-thinning medication given to prevent blood clots. It's administered in units, with each dose tailored to your needs. This service refers to the administration of 1000 units of this medication.
1,158 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
861 services381 patients
Insertion of lower leg neurostimulator electrode 64566
The insertion of a lower leg neurostimulator electrode is a procedure where a small device is placed under your skin. This device sends mild electrical signals to nerves in the lower leg, helping to manage chronic pain. It's a safe, minimally invasive procedure.
297 services30 patients
Simple bladder irrigation and/or instillation 51700
Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.
235 services33 patients
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.
204 services126 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%400 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%150 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%476 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
51%476 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers19 claims3,660 services$1.47 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.

Specialist
26732 CROWN VALLEY PKWY, SUITE 585
MISSION VIEJO, CA 92691
Surgery (Plastic and Reconstructive Surgery)
26732 CROWN VALLEY PKWY, SUITE 381
MISSION VIEJO, CA 92691
Pediatrics
26732 CROWN VALLEY PKWY, STE 571
MISSION VIEJO, CA 92691
Podiatrist (Foot & Ankle Surgery)
26732 CROWN VALLEY PKWY, 317
MISSION VIEJO, CA 92691
Technician/Technologist
26732 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691
Neurological Surgery
26732 CROWN VALLEY PKWY, SUITE 541
MISSION VIEJO, CA 92691
Registered Nurse
26732 CROWN VALLEY PKWY, SUITE 351
MISSION VIEJO, CA 92691
Neurological Surgery
26732 CROWN VALLEY PKWY, SUITE 561
MISSION VIEJO, CA 92691

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 Patricia Wallace's NPI number?

The NPI number for Patricia Wallace is 1629162995. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Patricia Wallace located?

Patricia Wallace practices at 26732 Crown Valley Pkwy Suite 327, Mission Viejo, CA 92691. The listed phone number is (949) 364-4400.

What is Patricia Wallace's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Patricia Wallace enrolled in Medicare?

Yes. Patricia 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.

When was this NPI record last updated?

The NPPES record for Patricia Wallace was last updated on August 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.