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DR. BRIAN KEN WALLACE MD
NPI 1659488690
Family Medicine in Milwaukee, WI

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
2801 W KINNICKINNIC RIVER PKWY, #250, MILWAUKEE, WI 53215(414) 649-6732(414) 649-5840 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Apr 14, 2022 (2 updates tracked since 2022).

About Dr. Brian Ken Wallace Md NPPES

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

DR. BRIAN KEN WALLACE MD (NPI 1659488690) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (27108) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (1984).

NPPES Registry Identity

NPI1659488690
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRIAN KEN WALLACECredential: MD
Location Address2801 W KINNICKINNIC RIVER PKWY, #250Milwaukee, WI 53215
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (414) 649-6732 · Fax (414) 649-5840
Phone(414) 649-6732
Fax(414) 649-5840
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1984
Enumeration DateAugust 24, 2006
Last NPPES UpdateSeptember 22, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2023
✔ NPI 1659488690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 27108
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.
2801 W KINNICKINNIC RIVER PKWY, Milwaukee, WI 53215
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Other Identifiers 1

Medicaid30848800WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), UnitedHealthcare.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. Brian Ken 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 ID5890696066
PECOS Enrollment IDI20040120000421
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 8

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.
126 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
99 services19 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.
43 services32 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
21 services18 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers33 claims65 services$5.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims14 services$1.07 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.

CARRIE S BILICKI RN
Registered Nurse
2801 W KINNICKINNIC RIVER PKWY, STE 525
MILWAUKEE, WI 53215
Milwaukee County (414) 385-2630
BRIANNA CECELIA MURPHY PA-C
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Milwaukee County (414) 646-9820
DR. PAUL S BERNSTEIN
Internal Medicine (Cardiovascular Disease)
2801 W KINNICKINNIC RIVER PKWY, 840
MILWAUKEE, WI 53215
Milwaukee County (414) 649-3530
DR. PRAKASH D SHAH M.D.
Internal Medicine (Cardiovascular Disease)
2801 W KINNICKINNIC RIVER PKWY, STE 840
MILWAUKEE, WI 53215
Milwaukee County (414) 649-3530
M CHRISTINE GIEBEL PA-C
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY, SUITE 345
MILWAUKEE, WI 53215
Milwaukee County (414) 385-2700
ROBERT A. DIULIO M.D.
Orthopaedic Surgery
2801 W KINNICKINNIC RIVER PKWY, SUITE 575
MILWAUKEE, WI 53215
Milwaukee County (414) 643-8800
CHRISTINE A KENYON LAUNDRE M.D.
Anesthesiology
2801 W KINNICKINNIC RIVER PKWY, SUITE 453
MILWAUKEE, WI 53215
Milwaukee County (414) 385-2380
JODI L ZILINSKI M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
2801 W KINNICKINNIC RIVER PKWY, SUITE 777
MILWAUKEE, WI 53215
Milwaukee County (414) 649-3390

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 Brian Wallace's NPI number?

The NPI number for Brian Wallace is 1659488690. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Brian Wallace located?

Brian Wallace practices at 2801 W Kinnickinnic River Pkwy #250, Milwaukee, WI 53215. The listed phone number is (414) 649-6732.

What is Brian Wallace's specialty?

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

Is Brian Wallace enrolled in Medicare?

Yes. Brian 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 Brian Wallace accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and UnitedHealthcare list Brian 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 Brian Wallace affiliated with any hospitals?

According to CMS data, Brian Wallace is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Wallace was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.