MATTHEW SEYMOUR WALLACE DDS
NPI 1861706145
Dentist in Rome, NY

Active since July 29, 2010PECOS Enrolled

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Seymour Wallace Dds NPPES

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

MATTHEW SEYMOUR WALLACE DDS (NPI 1861706145) is an individual dentist in Rome, New York, licensed in New York (055556) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861706145
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMATTHEW SEYMOUR WALLACECredential: DDS
Location Address63 GEIGER RDRome, NY 13441-4324
Mailing Address63 Geiger RdRome, NY 13441-4324 · (315) 335-0164
Sole ProprietorNo
Enumeration DateJuly 29, 2010
Last NPPES UpdateAugust 8, 2012
NPI 1861706145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NY · 055556
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
63 GEIGER RD, Rome, NY 13441

Accepted 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)

Matthew Seymour Wallace Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13441 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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

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

Dentist (General Practice)
63 GEIGER RD
ROME, NY 13441

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 Matthew Wallace's NPI number?

The NPI number for Matthew Wallace is 1861706145. It was assigned to this individual provider in the NPPES registry on July 29, 2010.

Where is Matthew Wallace located?

Matthew Wallace practices at 63 Geiger Rd, Rome, NY 13441. The listed phone number is (315) 339-2120.

What is Matthew Wallace's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Matthew Wallace enrolled in Medicare?

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

What insurance does Matthew Wallace accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Matthew 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 Matthew Wallace was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.