JAMES W WALLACE MD
NPI 1730135070
Pediatrics - Pediatric Pulmonology in Sioux Falls, SD

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1600 W 22ND ST, SIOUX FALLS, SD 57105(605) 312-1000(605) 312-1001 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James W Wallace Md NPPES

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

JAMES W WALLACE MD (NPI 1730135070) is an individual pediatric pulmonology provider in Sioux Falls, South Dakota, licensed in South Dakota (3549) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730135070
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameJAMES W WALLACECredential: MD
Location Address1600 W 22ND STSioux Falls, SD 57105-1521
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Fax(605) 312-1001
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
NPI 1730135070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License Licensed in SD · 3549
Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Also ListedPediatricsTaxonomy 208000000X · License 3549 (SD), 30538 (IA)
1600 W 22ND ST, Sioux Falls, SD 57105

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

James W 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 ID941271456
PECOS Enrollment IDI20040805001108
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.

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.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

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.

Pediatrics
1600 W 22ND ST
SIOUX FALLS, SD 57105
Pediatrics
1600 W 22ND ST
SIOUX FALLS, SD 57105
Pediatrics (Neonatal-Perinatal Medicine)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Pediatrics
1600 W 22ND ST
SIOUX FALLS, SD 57105
Pediatrics
1600 W 22ND ST
SIOUX FALLS, SD 57105
Pediatrics
1600 W 22ND ST
SIOUX FALLS, SD 57105
Pediatrics
1600 W 22ND ST
SIOUX FALLS, SD 57105

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 James Wallace's NPI number?

The NPI number for James Wallace is 1730135070. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is James Wallace located?

James Wallace practices at 1600 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 312-1000.

What is James Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is James Wallace enrolled in Medicare?

Yes. James 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 James Wallace accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Oscar Insurance Company, Sanford Health Plan and Security Health Plan list James 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 James Wallace was last updated on March 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.