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CHARLES W WALLACE MD
NPI 1780652792
Family Medicine in Canton, OH

Active since March 08, 2006PECOS Enrolled
4455 DRESSLER RD NW, CANTON, OH 44718(330) 497-6555(330) 497-3281 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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.

NPPES Registry Identity

NPI1780652792
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES W WALLACECredential: MD
Location Address4455 DRESSLER RD NWCanton, OH 44718-2785
Mailing Address4455 Dressler Rd NwCanton, OH 44718-2785 · (330) 497-6555 · Fax (330) 497-3281
Phone(330) 497-6555
Fax(330) 497-3281
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1780652792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OH · 35080468W✔ Licensed in MN · 70831✔ Licensed in LA · 330155
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4455 DRESSLER RD NW, Canton, OH 44718
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Other Identifiers 6

Other000000490965Anthem Bcbs
OtherQ016786DHometown
Medicaid2374014OH
Other733074Buckeye Community Health
Other1074Summacare Health Plan
Other000000189519Three Rivers Health Plans

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of NC, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles W 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 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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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

OHIO HEART CARE, INC.
Clinic/Center (Medical Specialty)
4455 DRESSLER RD NW
CANTON, OH 44718
Stark County (330) 492-2102
THE HEART ATTACK AND STROKE PREVENTION INSTITUTE, LLC
Preventive Medicine (Public Health & General Preventive Medicine)
4455 DRESSLER RD NW
CANTON, OH 44718
Stark County (330) 492-1420

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.

What insurance does Charles Wallace accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of NC, CareSource, HMO Louisiana and Medica and 2 other insurers 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 19 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.