SAMANTHA WALLACE DO
NPI 1821403593
Family Medicine in Springfield, MO

Active since June 21, 2014PECOS EnrolledAccepts Medicare Assignment
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807(417) 269-7728(417) 269-7729 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2020, Mar 17, 2018, Aug 3, 2017 (3 updates tracked since 2017).

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

NPI1821403593
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSAMANTHA WALLACECredential: DO
Location Address3801 S NATIONAL AVESpringfield, MO 65807-5210
Mailing AddressPo Box 802843Kansas City, MO 64180-2843 · (417) 269-5712 · Fax (417) 269-7567
Fax(417) 269-7729
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 21, 2014
Last NPPES UpdateJune 17, 20263 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1821403593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MO · 2015026152 Licensed in MO · 2014019168
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.
3801 S NATIONAL AVE, Springfield, MO 65807

Secondary Practice Locations 2

Location 11423 N Jefferson AveSpringfield, MO 65802-1917 · Phone (417) 269-8817 · Fax (417) 269-8744
Location 2525 Branson Landing Blvd Ste 201ABranson, MO 65616-2052 · Phone (417) 335-7000

Other Identifiers 1

Medicaid1821403593MO

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID3971874991
PECOS Enrollment IDI20170809000339
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
272 services119 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
161 services87 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
62 services62 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
53 services53 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
40 services40 patients

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, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Physician 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.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$27.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiology
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Anesthesiologist Assistant
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Radiology (Diagnostic Radiology)
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Emergency Medicine
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Registered Nurse (Diabetes Educator)
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Neurological Surgery
3801 S NATIONAL AVE, WEST TOWER, SUITE 700
SPRINGFIELD, MO 65807
Neurological Surgery
3801 S NATIONAL AVE, WEST TOWER, SUITE 700
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.

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 with the weekly NPPES data releases published by CMS.