SAMANTHA WALLACE DO
NPI 1821403593
Family Medicine in Springfield, MO
About Samantha Wallace Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA WALLACE DO (NPI 1821403593) is an individual family medicine provider in Springfield, Missouri, licensed in Missouri (2015026152) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
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
Samantha Wallace 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.
Medicare Billing Reassignments
5Medicare enrollment records show Samantha Wallace reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 109 clinicians in this Medicare group
Forsyth, MO 65653
- Reassigned Medicare billing, Missouri enrollment
- 91 clinicians in this Medicare group
Monett, MO 65708
- Reassigned Medicare billing, Missouri enrollment
- 186 clinicians in this Medicare group
Mountain Grove, MO 65711
- Reassigned Medicare billing, Missouri enrollment
- 338 clinicians in this Medicare group
Lamar, MO 64759
- Reassigned Medicare billing, Missouri enrollment
- 90 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cox Medical Centers
Acute Care Hospitals · Springfield, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
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 Samantha Wallace's NPI number?
The NPI number for Samantha Wallace is 1821403593. It was assigned to this individual provider in the NPPES registry on June 21, 2014.
Where is Samantha Wallace located?
Samantha Wallace practices at 3801 S National Ave, Springfield, MO 65807. The listed phone number is (417) 269-7728.
What is Samantha Wallace's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samantha Wallace enrolled in Medicare?
Yes. Samantha Wallace 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 Samantha Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Wallace reassigns Medicare benefits to 5 organizations: Lester E Cox Medical Centers (Springfield, MO), Skaggs Community Hospital Association (Forsyth, MO), Cox-Monett Hospital, Inc. (Monett, MO), Ozarks Medical Center (Mountain Grove, MO) and Cox Barton County Hospital (Lamar, MO). 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 Samantha Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Wallace accept?
Health plans from Anthem Blue Cross and Blue Shield list Samantha 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.
Is Samantha Wallace affiliated with any hospitals?
According to CMS data, Samantha Wallace is affiliated with Cox Medical Centers.
When was this NPI record last updated?
The NPPES record for Samantha Wallace was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Samantha Wallace, DO · NPI 1821403593
Family Medicine physician in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since June 21, 2014.
## Identity
- **NPI:** 1821403593 (Entity type: Individual)
- **Enumerated:** June 21, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2015026152 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3801 S NATIONAL AVE, Springfield, MO 65807-5210
- **Phone:** (417) 269-7728 · **Fax:** (417) 269-7729
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Lester E Cox Medical Centers (NPI 1407210917, Springfield, MO); Skaggs Community Hospital Association (NPI 1861423683, Forsyth, MO); Cox-Monett Hospital, Inc. (NPI 1669687125, Monett, MO); Ozarks Medical Center (NPI 1376679423, Mountain Grove, MO); Cox Barton County Hospital (NPI 1255847745, Lamar, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 17, 2026
- **Other identifiers:** Medicaid 1821403593 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1821403593) · Data from the CMS NPPES public registry.