DR. MICHAEL H WALLACE M.D.
NPI 1801982475
Family Medicine in Cedar Rapids, IA

Q: What is Michael Wallace's NPI number?

The NPI number for Michael Wallace is 1801982475. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Michael Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Wallace was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since October 04, 2006PECOS Enrolled

788 8TH AVENUE SE, SUITE 204, CEDAR RAPIDS, IA 52401(319) 398-6342(319) 558-0330 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Michael H Wallace M.d. NPPES

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

DR. MICHAEL H WALLACE M.D. (NPI 1801982475) is an individual family medicine provider in Cedar Rapids, Iowa, licensed in Iowa (37120) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801982475

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MICHAEL H WALLACECredential: M.D.

Location Address788 8TH AVENUE SE, SUITE 204Cedar Rapids, IA 52401

Mailing Address788 8th Avenue Se, Suite 204, Mercy Employee Health CenterCedar Rapids, IA 52401 · (319) 398-6342 · Fax (319) 558-0330

Phone(319) 398-6342

Fax(319) 558-0330

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateJune 16, 2021

NPPES CertifiedJune 16, 2021

✔ NPI 1801982475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · 37120

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.

788 8TH AVENUE SE, Cedar Rapids, IA 52401

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael H Wallace M.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Michael Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Physician Associates, Inc

Same address

Family Medicine

788 8TH AVE SE, STE 200
Cedar Rapids, IA 52401

Reassigned Medicare billing, Iowa enrollment
108 clinicians in this Medicare group

NPI 1265784326 (319) 377-6065

Mercy Care Management, Inc

3.6 mi

Family Medicine

2815 EDGEWOOD RD SW
Cedar Rapids, IA 52404

Reassigned Medicare billing, Iowa enrollment
60 clinicians in this Medicare group

NPI 1306042890 (319) 369-4798

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 52401 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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 5

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

MARION PEDIATRICS, PC

Pediatrics

788 8TH AVENUE SE
CEDAR RAPIDS, IA 52401

Linn County (319) 373-7563

DR. BHAVYA AKHAURI M.D.

Internal Medicine (Gastroenterology)

788 8TH AVENUE SE, LEVEL 3
CEDAR RAPIDS, IA 52401

Linn County (319) 369-4542

MR. ALAN BURNETTE PA-C

Physician Assistant

788 8TH AVENUE SE, SUITE 300
CEDAR RAPIDS, IA 52401

Linn County (319) 861-7200

DR. ROHAN PENMETCHA DO

Internal Medicine (Cardiovascular Disease)

788 8TH AVENUE SE, SUITE 400
CEDAR RAPIDS, IA 52401

Linn County (319) 832-2328

MARK A. MILTON MD

Internal Medicine (Clinical Cardiac Electrophysiology)

788 8TH AVENUE SE, SUITE 400
CEDAR RAPIDS, IA 52401

Linn County (319) 832-2328

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 Michael Wallace's NPI number?

The NPI number for Michael Wallace is 1801982475. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Michael Wallace located?

Michael Wallace practices at 788 8th Avenue SE Suite 204, Cedar Rapids, IA 52401. The listed phone number is (319) 398-6342.

What is Michael Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Wallace enrolled in Medicare?

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

Which organizations bill Medicare for Michael Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Wallace reassigns Medicare benefits to 2 organizations: Mercy Physician Associates, Inc (Cedar Rapids, IA) and Mercy Care Management, Inc (Cedar Rapids, IA). 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 Michael Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Wallace accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Michael 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 Michael Wallace was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.