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THOMAS JEFFREY WALLACE DO
NPI 1730871567
Student in an Organized Health Care Education/Training Program in West Columbia, SC

Active since May 22, 2023PECOS EnrolledAccepts Medicare Assignment
145 SUNSET CT STE 100, WEST COLUMBIA, SC 29169(803) 739-3491 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2025, Mar 11, 2025, Aug 23, 2024 and 1 more (4 updates tracked since 2023).

About Thomas Jeffrey Wallace Do NPPES

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

THOMAS JEFFREY WALLACE DO (NPI 1730871567) is an individual student in an organized health care education/training program in West Columbia, South Carolina and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1730871567
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHOMAS JEFFREY WALLACECredential: DO
Location Address145 SUNSET CT STE 100West Columbia, SC 29169-2429
Mailing Address145 Sunset Ct Ste 100West Columbia, SC 29169-2429 · (803) 739-3491
Phone(803) 739-3491
Sole ProprietorYes
Medical School CMSPhiladelphia Col Of Osteo Med, SewaneeGraduated 2023
Enumeration DateMay 22, 2023
Last NPPES UpdateSeptember 16, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1730871567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 89976 (SC)
145 SUNSET CT STE 100, West Columbia, SC 29169
Open in Google Maps ↗

Secondary Practice Location 1

Location 1154 Saluda Pointe DrLexington, SC 29072-7295 · Phone (803) 785-3590 · Fax (803) 785-3595

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Thomas Jeffrey Wallace Do 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 ID1850752239
PECOS Enrollment IDI20250408001439
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.

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

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.

DUVAL SAMWARU DO
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 000-0000
HOLLY OWENS MD
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
BRANDON AUSTIN MCCONNELL
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
JOSEPH GABRIEL PATRAUTANU MD
Family Medicine
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
TRIET LE
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
DR. JOSEPH MICHAEL COONEY DO
Family Medicine
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
TREVOR DOANE
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
ALEXANDER KHOA-NGUYEN GIEP
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 000-0000

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 Thomas Wallace's NPI number?

The NPI number for Thomas Wallace is 1730871567. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Thomas Wallace located?

Thomas Wallace practices at 145 Sunset Ct Ste 100, West Columbia, SC 29169. The listed phone number is (803) 739-3491.

What is Thomas Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Thomas Wallace enrolled in Medicare?

Yes. Thomas 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 Thomas Wallace accept?

Health plans from UnitedHealthcare list Thomas 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.

Is Thomas Wallace affiliated with any hospitals?

According to CMS data, Thomas Wallace is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Wallace was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.