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JOHN A. WALLACE DPM
NPI 1861426462
Podiatrist - Primary Podiatric Medicine in Merchantville, NJ

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
702 W MAPLE AVE, MERCHANTVILLE, NJ 08109(856) 665-1180(856) 665-5537 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John A. Wallace Dpm NPPES

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

JOHN A. WALLACE DPM (NPI 1861426462) is an individual primary podiatric medicine provider in Merchantville, New Jersey, licensed in New Jersey (MD00151900) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1983).

NPPES Registry Identity

NPI1861426462
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameJOHN A. WALLACECredential: DPM
Location Address702 W MAPLE AVEMerchantville, NJ 08109-1822
Mailing Address702 W Maple AveMerchantville, NJ 08109-1822 · (856) 665-1180 · Fax (856) 665-5537
Phone(856) 665-1180
Fax(856) 665-5537
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1983
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861426462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in NJ · MD00151900
702 W MAPLE AVE, Merchantville, NJ 08109
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Other Identifiers 4

Other0425672000NJ · Amerihealth
Medicaid6574009NJ
Medicare UPINT30473NJ
Medicare ID-Type Unspecified082365NJ

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

John A. Wallace Dpm 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 ID4789577453
PECOS Enrollment IDI20040907000531
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 7

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
307 services109 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
253 services88 patients
Simple separation of fingernail or toenail from nail bed, first nail 11730
This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.
84 services60 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
57 services17 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
45 services17 patients
Simple or single drainage of skin abscess 10060
A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.
25 services21 patients

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers57 claims114 services$55.94 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers56 claims336 services$24.71 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

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

ASSOC. OF MAPLE PODIATRY,PA
Podiatrist
702 W MAPLE AVE
MERCHANTVILLE, NJ 08109
Camden County (856) 665-1180

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 John Wallace's NPI number?

The NPI number for John Wallace is 1861426462. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is John Wallace located?

John Wallace practices at 702 W Maple Ave, Merchantville, NJ 08109. The listed phone number is (856) 665-1180.

What is John Wallace's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is John Wallace enrolled in Medicare?

Yes. John 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.

When was this NPI record last updated?

The NPPES record for John Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.