DR. GREGORY WALLIS DO
NPI 1790308278
Emergency Medicine in Pullman, WA

Active since May 19, 2020PECOS EnrolledAccepts Medicare Assignment
835 SE BISHOP BLVD, PULLMAN, WA 99163(509) 332-2541 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2025, Jul 7, 2025, Aug 19, 2024 and 1 more (4 updates tracked since 2020).

About Dr. Gregory Wallis Do NPPES

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

DR. GREGORY WALLIS DO (NPI 1790308278) is an individual emergency medicine provider in Pullman, Washington, licensed in Washington (OP61426716) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Pullman Regional Hospital, and maintains a secondary practice location in Parker.

NPPES Registry Identity

NPI1790308278
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. GREGORY WALLISCredential: DO
Location Address835 SE BISHOP BLVDPullman, WA 99163-5512
Mailing AddressPo Box 95461Cleveland, OH 44101-0033 · (928) 669-2137
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 19, 2020
Last NPPES UpdateAugust 5, 20254 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1790308278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WA · OP61426716
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.
835 SE BISHOP BLVD, Pullman, WA 99163

Secondary Practice Location 1

Location 112033 Agency RdParker, AZ 85344-7718 · Phone (289) 669-2137

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gregory Wallis 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 ID8628464096
PECOS Enrollment IDI20250331001867
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Gregory Wallis reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
835 SE BISHOP BLVD
Pullman, WA 99163
  • Reassigned Medicare billing, Washington enrollment
  • 151 clinicians in this Medicare group
Critical Access
1200 W FAIRVIEW RD
Colfax, WA 99111
  • Reassigned Medicare billing, Washington enrollment
  • 69 clinicians in this Medicare group
Emergency Medical Services
200 NAT WASHINGTON WAY
Ephrata, WA 98823
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Grant County Public Hospital District No. 3
  • 144 clinicians in this Medicare group
Rural Health
110 S APPLE BLOSSOM DR
Chelan, WA 98816
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1578568853 (Washington)
  • 154 clinicians in this Medicare group
Clinic/Center
10 LINCOLN ST
Moapa, NV 89025
  • Reassigned Medicare billing, Texas enrollment
  • 143 clinicians in this Medicare group
Clinic/Center
1 MAIN ST
Supai, AZ 86435
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dhhs Ihs Phoenix Area
  • 210 clinicians in this Medicare group
Critical Access
HIGHWAY 264 MILEPOST 388
Polacca, AZ 86042
  • Reassigned Medicare billing, Texas enrollment
  • 199 clinicians in this Medicare group
Public Health, Federal
1970 PALO VERDE
Havasu Lake, CA 92363
  • Reassigned Medicare billing, Texas enrollment
  • 208 clinicians in this Medicare group
General Acute Care Hospital
1102 W 32ND ST
Joplin, MO 64804
  • Reassigned Medicare billing, Missouri enrollment
  • 171 clinicians in this Medicare group
Critical Access
113 W HICKORY ST
Neosho, MO 64850
  • Reassigned Medicare billing, Missouri enrollment
  • 53 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.

Hospital Affiliations CMS Care Compare 2

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

Pullman Regional Hospital

Critical Access Hospitals · Pullman, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501331
Location835 S Bishop BlvdPullman, WA 99163 · Whitman County
Emergency services Birthing friendly

Lake Chelan Community Hospital

Critical Access Hospitals · Chelan, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501334
Location110 S Apple Blossom DrChelan, WA 98816 · Chelan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99163 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Registered Nurse
835 SE BISHOP BLVD
PULLMAN, WA 99163
Physical Therapy Assistant
835 SE BISHOP BLVD
PULLMAN, WA 99163
Registered Nurse
835 SE BISHOP BLVD
PULLMAN, WA 99163
Nurse Anesthetist, Certified Registered
835 SE BISHOP BLVD
PULLMAN, WA 99163
Nurse Anesthetist, Certified Registered
835 SE BISHOP BLVD
PULLMAN, WA 99163
Dietitian, Registered
835 SE BISHOP BLVD
PULLMAN, WA 99163
Nurse Anesthetist, Certified Registered
835 SE BISHOP BLVD
PULLMAN, WA 99163
Nurse Anesthetist, Certified Registered
835 SE BISHOP BLVD
PULLMAN, WA 99163

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 Gregory Wallis's NPI number?

The NPI number for Gregory Wallis is 1790308278. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Gregory Wallis located?

Gregory Wallis practices at 835 SE Bishop Blvd, Pullman, WA 99163. The listed phone number is (509) 332-2541.

What is Gregory Wallis's specialty?

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

Is Gregory Wallis enrolled in Medicare?

Yes. Gregory Wallis 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.

Which organizations bill Medicare for Gregory Wallis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Wallis reassigns Medicare benefits to 10 organizations: Public Hospital District #1-A Of Whitman County (Pullman, WA), Public Hospital District No 3 Of Whitman County (Colfax, WA), Grant County Public Hospital District 3 (Ephrata, WA), Chelan County Public Hospital District No 2 (Chelan, WA), Irene Benn Medical Center (Moapa, NV) and 5 more organizations, 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 Gregory Wallis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gregory Wallis affiliated with any hospitals?

According to CMS data, Gregory Wallis is affiliated with Pullman Regional Hospital and Lake Chelan Community Hospital.

When was this NPI record last updated?

The NPPES record for Gregory Wallis was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.