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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JEFFREY P. WALLACE MD
NPI 1760457626
Emergency Medicine in Sunrise, FL

Active since February 22, 2006PECOS Enrolled
1613 HARRISON PKWY, #200, SUNRISE, FL 33323(954) 838-2371 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey P. Wallace Md NPPES

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

JEFFREY P. WALLACE MD (NPI 1760457626) is an individual emergency medicine provider in Sunrise, Florida, licensed in Florida (ME49186) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760457626
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJEFFREY P. WALLACECredential: MD
Location Address1613 HARRISON PKWY, #200Sunrise, FL 33323-2853
Mailing AddressPo Box 848508Pembroke Pines, FL 33084-0508
Phone(954) 838-2371
Sole ProprietorNo
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1760457626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME49186
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1613 HARRISON PKWY, Sunrise, FL 33323
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey P. Wallace Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33323 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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.

ASHLEY WALD LAFFERTY CRNA
Nurse Anesthetist, Certified Registered
1613 HARRISON PKWY, SUITE 200
SUNRISE, FL 33323
Broward County (954) 838-2588
HESHAM S. TAWAKOL MD
Pediatrics (Neonatal-Perinatal Medicine)
1613 HARRISON PKWY, #200
SUNRISE, FL 33323
Broward County (954) 838-2371
VELDA M. VANDLING CRNA
Nurse Anesthetist, Certified Registered
1613 HARRISON PKWY, #200
SUNRISE, FL 33323
Broward County (954) 838-2371
JAMES M. COGDILL DO
Anesthesiology
1613 HARRISON PKWY, #200
SUNRISE, FL 33323
Broward County (954) 838-2371
PEDRO R. FERNANDEZ MD
Anesthesiology
1613 HARRISON PKWY, #200
SUNRISE, FL 33323
Broward County (954) 838-2371
GENY P. PANALIGAN-KE ARNP
Nurse Practitioner
1613 HARRISON PKWY, #200
SUNRISE, FL 33323
Broward County (954) 838-2371
ERNESTO LUGO DO
Emergency Medicine
1613 HARRISON PKWY, #200
SUNRISE, FL 33323
Broward County (954) 838-2371
GILFREDO FIGUEROA CRNA
Nurse Anesthetist, Certified Registered
1613 HARRISON PKWY, #200
SUNRISE, FL 33323
Broward County (954) 838-2371

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 Jeffrey Wallace's NPI number?

The NPI number for Jeffrey Wallace is 1760457626. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Jeffrey Wallace located?

Jeffrey Wallace practices at 1613 Harrison Pkwy #200, Sunrise, FL 33323. The listed phone number is (954) 838-2371.

What is Jeffrey Wallace's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jeffrey Wallace enrolled in Medicare?

Yes. Jeffrey Wallace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Wallace was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.