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DR. DIANA RENEE WALLACE MD
NPI 1710993845
Obstetrics & Gynecology in Rome, NY

Active since July 31, 2006PECOS Enrolled
7900 TURIN ROAD, BUILDING 4, SUITE 2, ROME, NY 13440(315) 338-7284(315) 338-7286 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Diana Renee Wallace Md NPPES

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

DR. DIANA RENEE WALLACE MD (NPI 1710993845) is an individual obstetrics & gynecology provider in Rome, New York, licensed in New York (255422) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710993845
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. DIANA RENEE WALLACECredential: MD
Location Address7900 TURIN ROAD, BUILDING 4, SUITE 2Rome, NY 13440-7423
Mailing Address7900 Turin Road, Building 4, Suite 2Rome, NY 13440-7423 · (315) 338-7284 · Fax (315) 338-7286
Phone(315) 338-7284
Fax(315) 338-7286
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateNovember 5, 2015
✔ NPI 1710993845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NY · 255422✔ Licensed in PA · MD 433457✔ Licensed in NM · MD 2015-0031
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
7900 TURIN ROAD, Rome, NY 13440
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Other Identifiers 9

Other932354MD · Carefirst Md Bcbs
Other92199182PA · Aetna
Other2039121PA · Highmark Blue Shield
Other20076171PA · Amerihealth Mercy-wmg
Other212422PA · Johns Hopkins
Other50077199PA · Capital Blue Cross-wmg
Medicare PIN126156FLTPA
Other118476PA · Geisinger Health Plan
Other1572573PA · Gateway-wmg

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Diana Renee Wallace Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13440 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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 Diana Wallace's NPI number?

The NPI number for Diana Wallace is 1710993845. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Diana Wallace located?

Diana Wallace practices at 7900 Turin Road Building 4, Suite 2, Rome, NY 13440. The listed phone number is (315) 338-7284.

What is Diana Wallace's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Diana Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Diana Wallace was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.