JERALD PAYDEN WALLACE M.D.
NPI 1730591017
Surgery in Lexington, KY
About Jerald Payden Wallace M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERALD PAYDEN WALLACE M.D. (NPI 1730591017) is an individual surgery provider in Lexington, Kentucky, licensed in Kentucky (49437) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jerald Payden Wallace M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jerald Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayette, AL 35555
- Reassigned Medicare billing, Alabama enrollment
- 32 clinicians in this Medicare group
Tuscaloosa, AL 35401
- Reassigned Medicare billing, Alabama enrollment
- 179 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
LEXINGTON, KY 40536
LEXINGTON, KY 40536
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 Jerald Wallace's NPI number?
The NPI number for Jerald Wallace is 1730591017. It was assigned to this individual provider in the NPPES registry on May 21, 2014.
Where is Jerald Wallace located?
Jerald Wallace practices at 800 Rose St C246, Lexington, KY 40536. The listed phone number is (859) 323-6162.
What is Jerald Wallace's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Jerald Wallace enrolled in Medicare?
Yes. Jerald 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.
Which organizations bill Medicare for Jerald Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerald Wallace reassigns Medicare benefits to 2 organizations: West Alabama Physician Associates LLC (Fayette, AL) and The Dch Healthcare Authority (Tuscaloosa, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerald Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jerald Wallace accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Jerald 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 Jerald Wallace was last updated on July 7, 2016. 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.
# Jerald Payden Wallace, M.D. · NPI 1730591017
Surgery physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since May 21, 2014.
## Identity
- **NPI:** 1730591017 (Entity type: Individual)
- **Enumerated:** May 21, 2014
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 49437 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 ROSE ST, C246, Lexington, KY 40536-0293
- **Phone:** (859) 323-6162
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): West Alabama Physician Associates LLC (NPI 1417362807, Fayette, AL); The Dch Healthcare Authority (NPI 1841394418, Tuscaloosa, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** July 7, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1730591017) · Data from the CMS NPPES public registry.