1. Home
  2. Directory
  3. Michigan
  4. Farmington Hills
  5. Emergency Medicine
  6. NPI Profile

LAURIE WALLACE DO
NPI 1699716613
Emergency Medicine - Emergency Medical Services in Farmington Hills, MI

Active since June 09, 2006PECOS Enrolled
100/100
CMS Quality Rating
28050 GRAND RIVER AVE, ER DEPARTMENT, FARMINGTON HILLS, MI 48336(248) 471-8000 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laurie Wallace Do NPPES

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

LAURIE WALLACE DO (NPI 1699716613) is an individual emergency medical services provider in Farmington Hills, Michigan, licensed in Michigan (LW010385) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699716613
Entity TypeIndividualFemale
Primary Taxonomy207PE0004X
Provider Legal NameLAURIE WALLACECredential: DO
Location Address28050 GRAND RIVER AVE, ER DEPARTMENTFarmington Hills, MI 48336-5919
Mailing AddressPo Box 634087Cincinnati, OH 45263-0001 · (800) 540-8739 · Fax (616) 975-9827
Phone(248) 471-8000
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateNovember 28, 2016
✔ NPI 1699716613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in MI · LW010385
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
28050 GRAND RIVER AVE, Farmington Hills, MI 48336
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedN83060001MI
Medicaid114570889MI
Medicare UPINF07064

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurie Wallace Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
163 services150 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
133 services129 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
58 services55 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
49 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48336 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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

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.

PHYLLIS A SURMA RN
Registered Nurse (Diabetes Educator)
28050 GRAND RIVER AVE, TRACC
FARMINGTON HILLS, MI 48336
Oakland County (248) 471-8000
KAREN WATSON OTR/L
Occupational Therapist
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Oakland County (248) 471-8604
JUAN HUANG
Nurse Practitioner
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Oakland County (313) 618-9128
LINDSEY RAE HARRIS
Nurse Practitioner (Family)
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Oakland County (313) 618-9128
CHRISTINE CARLINE DO
Emergency Medicine
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Oakland County (947) 521-8000
SHAHRYAR RAZA DO
Family Medicine
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Oakland County (947) 521-8000
DR. JYOTHSNA YALAVARTHI MD
Internal Medicine
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Oakland County (734) 464-0887
ELIAS ANTYPAS
Radiology (Diagnostic Radiology)
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Oakland County (947) 521-8000

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 Laurie Wallace's NPI number?

The NPI number for Laurie Wallace is 1699716613. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Laurie Wallace located?

Laurie Wallace practices at 28050 Grand River Ave ER Department, Farmington Hills, MI 48336. The listed phone number is (248) 471-8000.

What is Laurie Wallace's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Laurie Wallace enrolled in Medicare?

Yes. Laurie Wallace is registered in the Medicare PECOS enrollment system.

What insurance does Laurie Wallace accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Laurie 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 Laurie Wallace was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.