DR. LEE TRAVIS WALLACE PHD
NPI 1649286949
Psychologist - Clinical in Austin, TX

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
13740 HWY 183, #R-3, AUSTIN, TX 78750(512) 331-1415(512) 918-2325 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lee Travis Wallace Phd NPPES

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

DR. LEE TRAVIS WALLACE PHD (NPI 1649286949) is an individual clinical provider in Austin, Texas, licensed in Texas (22772) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1649286949
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LEE TRAVIS WALLACECredential: PHD
Location Address13740 HWY 183, #R-3Austin, TX 78750
Mailing Address13740 Hwy 183, #r-3Austin, TX 78750 · (512) 331-1415 · Fax (512) 918-2325
Fax(512) 918-2325
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1649286949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in TX · 22772
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

13740 HWY 183, Austin, TX 78750

Other Identifiers 2

Other00A75LBlue Cross Blue Shield
Medicare ID-Type Unspecified00A75L

Accepted 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

Dr. Lee Travis Wallace Phd 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 ID5991754509
PECOS Enrollment IDI20050120000420
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 78750 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
$174.00 typical visit price
range $57.88 – $174.00
Typical copayment $43.50 (range $14.47 – $43.50)
Most-billed visit code 99205
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

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 Lee Wallace's NPI number?

The NPI number for Lee Wallace is 1649286949. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Lee Wallace located?

Lee Wallace practices at 13740 Hwy 183 #r-3, Austin, TX 78750. The listed phone number is (512) 331-1415.

What is Lee Wallace's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lee Wallace enrolled in Medicare?

Yes. Lee 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 Lee Wallace accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Providence Health Plan, UnitedHealthcare and WellPoint list Lee 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.

When was this NPI record last updated?

The NPPES record for Lee Wallace was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.