ELIOT M WALLACK MD
NPI 1750385449
Psychiatry & Neurology - Neurology in Philadelphia, PA

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
1840 SOUTH ST, TUTTLEMAN BUILDING, PHILADELPHIA, PA 19146(215) 893-6200 Get Directions Write a Review

NPPES record last updated: February 10, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eliot M Wallack Md NPPES

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

ELIOT M WALLACK MD (NPI 1750385449) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD431377) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of University Of Maryland School Of Medicine (1972).

NPPES Registry Identity

NPI1750385449
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameELIOT M WALLACKCredential: MD
Location Address1840 SOUTH ST, TUTTLEMAN BUILDINGPhiladelphia, PA 19146-7411
Mailing Address1840 South St, Tuttleman BuildingPhiladelphia, PA 19146-7411 · (215) 893-6200
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1972
Enumeration DateJune 9, 2005
Last NPPES UpdateFebruary 10, 2016
NPI 1750385449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in PA · MD431377
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1840 SOUTH ST, Philadelphia, PA 19146

Other Identifiers 1

Medicare UPINB28229IN

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

Eliot M Wallack 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 ID9931264678
PECOS Enrollment IDI20090213000037
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services47 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19146 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Nurse Anesthetist, Certified Registered
1840 SOUTH ST
PHILADELPHIA, PA 19146
Psychiatry & Neurology (Neurology)
1840 SOUTH ST
PHILA, PA 19146
Clinic/Center (Ambulatory Surgical)
1840 SOUTH ST
PHILA, PA 19146
Family Medicine
1840 SOUTH ST
PHILADELPHIA, PA 19146
Physician Assistant (Medical)
1840 SOUTH ST, TUTTLEMAN BUILDING, 2ND FLOOR
PHILADELPHIA, PA 19146
Family Medicine
1840 SOUTH ST, TUTTLEMAN BUILDING
PHILADELPHIA, PA 19146
Physician Assistant (Medical)
1840 SOUTH ST, TUTTLEMAN BLDG,2ND FLOOR
PHILADELPHIA, PA 19146
Student in an Organized Health Care Education/Training Program
1840 SOUTH ST
PHILADELPHIA, PA 19146

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 Eliot Wallack's NPI number?

The NPI number for Eliot Wallack is 1750385449. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Eliot Wallack located?

Eliot Wallack practices at 1840 South St Tuttleman Building, Philadelphia, PA 19146. The listed phone number is (215) 893-6200.

What is Eliot Wallack's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Eliot Wallack enrolled in Medicare?

Yes. Eliot Wallack 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 Eliot Wallack affiliated with any hospitals?

According to CMS data, Eliot Wallack is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Eliot Wallack was last updated on February 10, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.