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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SCOTT EARL WALLACE DO
NPI 1861074635
Family Medicine in Pampa, TX

Active since April 22, 2021PECOS Enrolled
3023 PERRYTON PKWY, PAMPA, TX 79065(806) 665-0801 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2023, Oct 28, 2022, Apr 22, 2021 (3 updates tracked since 2021).

About Scott Earl Wallace Do NPPES

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

SCOTT EARL WALLACE DO (NPI 1861074635) is an individual family medicine provider in Pampa, Texas, licensed in Texas (W6559) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861074635
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSCOTT EARL WALLACECredential: DO
Location Address3023 PERRYTON PKWYPampa, TX 79065-2821
Mailing Address3023 Perryton PkwyPampa, TX 79065-2821 · (806) 665-0801
Phone(806) 665-0801
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 22, 2021
Last NPPES UpdateJune 23, 20263 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1861074635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · W6559
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.
3023 PERRYTON PKWY, Pampa, TX 79065
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Scott Earl Wallace Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800253717
PECOS Enrollment IDI20260709001430
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 79065 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

SILVER HEART CARDIOLOGY MD PA
Specialist
3023 PERRYTON PKWY, STE 205
PAMPA, TX 79065
Gray County (806) 669-3003
FAMILY MED NOW, PLLC
Nurse Practitioner
3023 PERRYTON PKWY, SUITE 100
PAMPA, TX 79065
Gray County (806) 688-8800
TANAKA RUZVIDZO APRN-CNP
Nurse Practitioner (Psychiatric/Mental Health)
3023 PERRYTON PKWY
PAMPA, TX 79065
Gray County (806) 665-0801
DR. MOHANNAD BASEM BISHARAT M.D.
Internal Medicine (Interventional Cardiology)
3023 PERRYTON PKWY, SUITE 101
PAMPA, TX 79065
Gray County (806) 663-5523
FAMILY MEDICINE CENTER OF PAMPA PLLC
Family Medicine
3023 PERRYTON PKWY, SUITE 101
PAMPA, TX 79065
Gray County (806) 665-0801
BRENDA S MCCULLOUGH FNP-C
Nurse Practitioner (Family)
3023 PERRYTON PKWY
PAMPA, TX 79065
Gray County (806) 665-0801
MRS. KRISTI HARDEN APRN, FNP-C
Nurse Practitioner (Family)
3023 PERRYTON PKWY
PAMPA, TX 79065
Gray County (806) 665-0801
KARLA FERNANDEZ FNP-C
Nurse Practitioner (Family)
3023 PERRYTON PKWY
PAMPA, TX 79065
Gray County (806) 665-0801

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 Scott Wallace's NPI number?

The NPI number for Scott Wallace is 1861074635. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Scott Wallace located?

Scott Wallace practices at 3023 Perryton Pkwy, Pampa, TX 79065. The listed phone number is (806) 665-0801.

What is Scott Wallace's specialty?

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

Is Scott Wallace enrolled in Medicare?

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

What insurance does Scott Wallace accept?

Health plans from CareSource list Scott 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 Scott Wallace was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.