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KOJO WALLACE MD
NPI 1720475866
Surgery - Trauma Surgery in Lynchburg, VA

Active since April 15, 2015PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
CENTRA LYNCHBURG GENERAL HOSPITAL, 1901 TATE SPRINGS RD, LYNCHBURG, VA 24501(434) 200-3000 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2025, Jun 14, 2024 (2 updates tracked since 2024).

About Kojo Wallace Md NPPES

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

KOJO WALLACE MD (NPI 1720475866) is an individual trauma surgery provider in Lynchburg, Virginia, licensed in Virginia (0101285554) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (2015).

NPPES Registry Identity

NPI1720475866
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameKOJO WALLACECredential: MD
Location AddressCENTRA LYNCHBURG GENERAL HOSPITAL, 1901 TATE SPRINGS RDLynchburg, VA 24501
Mailing Address909 Station WayHuntington Station, NY 11746-1971
Phone(434) 200-3000
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2015
Enumeration DateApril 15, 2015
Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1720475866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License✔ Licensed in VA · 0101285554
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
CENTRA LYNCHBURG GENERAL HOSPITAL, Lynchburg, VA 24501
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Kojo 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 ID9830435411
PECOS Enrollment IDI20251012000127
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
69 services39 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.
49 services32 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.
26 services17 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.
19 services19 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. THOMAS JOSEPH MALIAKAL M.D
Anesthesiology
CENTRA LYNCHBURG GENERAL HOSPITAL, 1901 TATE SPRINGS RD
LYNCHBURG, VA 24501
Campbell County (201) 661-0714

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 Kojo Wallace's NPI number?

The NPI number for Kojo Wallace is 1720475866. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Kojo Wallace located?

Kojo Wallace practices at Centra Lynchburg General Hospital 1901 Tate Springs Rd, Lynchburg, VA 24501. The listed phone number is (434) 200-3000.

What is Kojo Wallace's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Kojo Wallace enrolled in Medicare?

Yes. Kojo 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.

Is Kojo Wallace affiliated with any hospitals?

According to CMS data, Kojo Wallace is affiliated with Centra Health - Lynchburg Gen Hospital.

When was this NPI record last updated?

The NPPES record for Kojo Wallace was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.