HAILY WALLACE MD
NPI 1679839534
Family Medicine in Tucumcari, NM

Q: What is Haily Wallace's NPI number?

The NPI number for Haily Wallace is 1679839534. It was assigned to this individual provider in the NPPES registry on April 5, 2012. The provider is also known as Haily Catharine Lee-Wallace.

Q: What is Haily Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Haily Wallace was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 05, 2012PECOS EnrolledAccepts Medicare Assignment

83.84/100

CMS Quality Rating

402 E MIEL DE LUNA AVE, PMG AT DR DAN C TRIGG MEMORIAL HOSPITAL, TUCUMCARI, NM 88401(575) 461-7100(575) 461-7101 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Haily Wallace Md NPPES

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

HAILY WALLACE MD (NPI 1679839534) is an individual family medicine provider in Tucumcari, New Mexico, licensed in New Mexico (MD2014-0895) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Plains Regional Medical Center, and is a graduate of University Of New Mexico School Of Medicine (2012).

NPPES Registry Identity

NPI1679839534

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameHAILY WALLACECredential: MD

Location Address402 E MIEL DE LUNA AVE, PMG AT DR DAN C TRIGG MEMORIAL HOSPITALTucumcari, NM 88401-3828

Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354

Phone(575) 461-7100

Fax(575) 461-7101

Sole ProprietorNo

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2012

Enumeration DateApril 5, 2012

Last NPPES UpdateJune 18, 2015

✔ NPI 1679839534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NM · MD2014-0895

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

402 E MIEL DE LUNA AVE, Tucumcari, NM 88401

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Other Names 1

Former Name (1)Haily Catharine Lee-wallace

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Haily 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 ID7719299338

PECOS Enrollment IDI20150709002052

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 6

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.

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

141 services68 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.

136 services69 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

60 services44 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

25 services24 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

15 services15 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.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Plains Regional Medical Center

Acute Care Hospitals · Clovis, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320022

Location2100 N Martin Luther King, Jr, BlvdClovis, NM 88101 · Curry County

Emergency services Birthing friendly

Dr Dan C Trigg Memorial Hospital

Critical Access Hospitals · Tucumcari, NM

OwnershipVoluntary non-profit - Private

CMS Certification Number321302

Location301 East Miel De Luna AvenueTucumcari, NM 88401 · Quay County

Emergency services

Northwest Texas Hospital

Acute Care Hospitals · Amarillo, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450209

Location1501 S Coulter StAmarillo, TX 79106 · Potter County

Emergency services Birthing friendly

Bsa Hospital

Acute Care Hospitals · Amarillo, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450231

Location1600 Wallace BlvdAmarillo, TX 79106 · Potter County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88401 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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.

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.

83.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.59

Promoting Interoperability

100

Improvement Activities

Cost

58.63

Referred Medical Equipment & Supplies CMS DME claims 20

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

Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each A4233

DME-Other DME · category DE017N

1 supplier12 claims24 services$0.41 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers33 claims121 services$6.33 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers22 claims22 services$2.53 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers23 claims48 services$1.08 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers17 claims17 services$105.53 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers17 claims43 services$41.77 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers14 claims14 services$23.75 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

2 suppliers13 claims13 services$22.45 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers16 claims92 services$3.23 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

3 suppliers11 claims11 services$14.30 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers66 claims67 services$20.27 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers15 claims15 services$866.72 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier19 claims19 services$18.73 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers15 claims15 services$7.48 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier17 claims17 services$56.42 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers109 claims111 services$111.66 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier15 claims15 services$35.59 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier17 claims930 services$0.10 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers12 claims15 services$184.80 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers21 claims21 services$23.95 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LADONNA LEE CHACON AGPCNP-C

Nurse Practitioner (Primary Care)

402 E MIEL DE LUNA AVE
TUCUMCARI, NM 88401

Quay County (575) 461-7100

DR. DARRELL E WILLIS MD

Family Medicine

402 E MIEL DE LUNA AVE
TUCUMCARI, NM 88401

Quay County (575) 461-7100

LLOYD LEE WILLIAMS FNP-C

Nurse Practitioner (Family)

402 E MIEL DE LUNA AVE
TUCUMCARI, NM 88401

Quay County (575) 461-7100

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 Haily Wallace's NPI number?

The NPI number for Haily Wallace is 1679839534. It was assigned to this individual provider in the NPPES registry on April 5, 2012. The provider is also known as Haily Catharine Lee-Wallace.

Where is Haily Wallace located?

Haily Wallace practices at 402 E Miel De Luna Ave Pmg At Dr Dan C Trigg Memorial Hospital, Tucumcari, NM 88401. The listed phone number is (575) 461-7100.

What is Haily Wallace's specialty?

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

Is Haily Wallace enrolled in Medicare?

Yes. Haily 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 Haily Wallace accept?

Health plans from Blue Cross and Blue Shield of Texas list Haily 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 Haily Wallace affiliated with any hospitals?

According to CMS data, Haily Wallace is affiliated with Plains Regional Medical Center, Dr Dan C Trigg Memorial Hospital, Northwest Texas Hospital and Bsa Hospital.

When was this NPI record last updated?

The NPPES record for Haily Wallace was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.