WILLIAM DAVID WALLACE MD
NPI 1679060438
Radiology - Diagnostic Radiology in Jackson, MS

Active since April 17, 2018PECOS EnrolledAccepts Medicare Assignment
86.49/100
CMS Quality Rating
969 LAKELAND DR, JACKSON, MS 39216(601) 200-2000 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2024, Apr 17, 2018 (2 updates tracked since 2018).

About William David Wallace Md NPPES

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

WILLIAM DAVID WALLACE MD (NPI 1679060438) is an individual diagnostic radiology provider in Jackson, Mississippi, licensed in Mississippi (28885) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Merit Health River Region, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679060438
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameWILLIAM DAVID WALLACECredential: MD
Location Address969 LAKELAND DRJackson, MS 39216-4606
Mailing AddressPo Box 23073Jackson, MS 39225-3073 · (601) 200-6162
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 17, 2018
Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
NPI 1679060438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MS · 28885
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
969 LAKELAND DR, Jackson, MS 39216

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

William David 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 ID749568707
PECOS Enrollment IDI20230807002752
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 84

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,831 services1,397 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
563 services544 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
552 services530 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
551 services551 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
549 services549 patients
Ultrasound of hemodialysis access 93990
An ultrasound of hemodialysis access is a non-invasive procedure that uses sound waves to create images of your dialysis access site. It helps monitor the access site's health and detect any potential issues like blockages or narrowing.
320 services194 patients

Hospital Affiliations CMS Care Compare 5

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

Merit Health River Region

Acute Care Hospitals · Vicksburg, MS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number250031
Location2100 Hwy 61 NVicksburg, MS 39183 · Warren County
Emergency services Birthing friendly

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Greenwood Leflore Hospital

Acute Care Hospitals · Greenwood, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250099
Location1401 River RdGreenwood, MS 38930 · Leflore County
Emergency services

Merit Health River Oaks

Acute Care Hospitals · Flowood, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250138
Location1030 River Oaks DriveFlowood, MS 39232 · Rankin County
Emergency services Birthing friendly

Tyler Holmes Memorial Hospital Cah

Critical Access Hospitals · Winona, MS
OwnershipGovernment - Local
CMS Certification Number251312
Location409 Tyler Holmes DriveWinona, MS 38967 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

86.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost51.89

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.

Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Pharmacy (Institutional Pharmacy)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner
969 LAKELAND DR
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216

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 1679060438. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Where is William Wallace located?

William Wallace practices at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 200-2000.

What is William Wallace's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers 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 Merit Health River Region, St Dominic-Jackson Memorial Hospital, Greenwood Leflore Hospital, Merit Health River Oaks and Tyler Holmes Memorial Hospital Cah.

When was this NPI record last updated?

The NPPES record for William Wallace was last updated on July 12, 2024. 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.