CHARLES W WALLACE MD
NPI 1780652792
Family Medicine in Canton, OH
About Charles W Wallace Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES W WALLACE MD (NPI 1780652792) is an individual family medicine provider in Canton, Ohio, licensed in Ohio (35080468W) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charles W Wallace Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Charles Wallace reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chambersburg, PA 17201
- Reassigned Medicare billing, Maryland enrollment
- 53 clinicians in this Medicare group
Linton, IN 47441
- Reassigned Medicare billing, Indiana enrollment
- 264 clinicians in this Medicare group
Morganton, NC 28655
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 clinicians in this Medicare group
Hastings, MN 55033
- Reassigned Medicare billing, Minnesota enrollment
- 2,609 clinicians in this Medicare group
Madison, MS 39110
- Reassigned Medicare billing, Mississippi enrollment
- 326 clinicians in this Medicare group
West Monroe, LA 71292
- Reassigned Medicare billing, Louisiana enrollment
- 4,559 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CANTON, OH 44718
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 Charles Wallace's NPI number?
The NPI number for Charles Wallace is 1780652792. It was assigned to this individual provider in the NPPES registry on March 8, 2006.
Where is Charles Wallace located?
Charles Wallace practices at 4455 Dressler Rd NW, Canton, OH 44718. The listed phone number is (330) 497-6555.
What is Charles Wallace's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Charles Wallace enrolled in Medicare?
Yes. Charles Wallace is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Charles Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Wallace reassigns Medicare benefits to 6 organizations: Wellspan Medical Group (Chambersburg, PA), Deaconess Specialty Physicians Inc (Linton, IN), Carolinas Physicians Network Inc (Morganton, NC), Allina Health System (Hastings, MN), Ochsner Mississippi, LLC (Madison, MS) and 1 more organization, listed in the Medicare section above. 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 Charles Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Wallace accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and UnitedHealthcare list Charles 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 Charles Wallace was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Charles W Wallace, MD · NPI 1780652792
Family Medicine physician in Canton, Ohio. Individual provider, active in the CMS NPPES registry since March 8, 2006.
## Identity
- **NPI:** 1780652792 (Entity type: Individual)
- **Enumerated:** March 8, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35080468W (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 4455 DRESSLER RD NW, Canton, OH 44718-2785
- **Phone:** (330) 497-6555 · **Fax:** (330) 497-3281
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Wellspan Medical Group (NPI 1407431588, Chambersburg, PA); Deaconess Specialty Physicians Inc (NPI 1336956408, Linton, IN); Carolinas Physicians Network Inc (NPI 1962784363, Morganton, NC); Allina Health System (NPI 1578869293, Hastings, MN); Ochsner Mississippi, LLC (NPI 1891290243, Madison, MS); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2025
- **Other identifiers:** Other 000000490965; Other Q016786D; Medicaid 2374014 (OH); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1780652792) · Data from the CMS NPPES public registry.