JACOB WALLACE M.D.
NPI 1871974527
Radiology - Diagnostic Radiology in Salina, KS

Active since June 17, 2015PECOS EnrolledAccepts Medicare Assignment
90.7/100
CMS Quality Rating
119 W IRON AVE FL 5, SALINA, KS 67401(785) 827-9526(785) 827-2854 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Wallace M.d. NPPES

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

JACOB WALLACE M.D. (NPI 1871974527) is an individual diagnostic radiology provider in Salina, Kansas, licensed in Kansas (04-44613) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Salina Regional Health Center, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2015).

NPPES Registry Identity

NPI1871974527
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJACOB WALLACECredential: M.D.
Location Address119 W IRON AVE FL 5Salina, KS 67401-2600
Mailing Address119 W Iron Ave Fl 5Salina, KS 67401-2600 · (785) 827-9526 · Fax (785) 827-2854
Fax(785) 827-2854
Sole ProprietorYes
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2015
Enumeration DateJune 17, 2015
Last NPPES UpdateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
NPI 1871974527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in KS · 04-44613
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedInternal MedicineTaxonomy 207R00000X · License 94-08609 (KS)
119 W IRON AVE FL 5, Salina, KS 67401

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 and accepts Medicare assignment

Jacob Wallace M.d. 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 ID244544336
PECOS Enrollment IDI20210524001019
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 86

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
776 services678 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
770 services770 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
769 services769 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
611 services578 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
400 services383 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
332 services317 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Salina Regional Health Center

Acute Care Hospitals · Salina, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170012
Location400 South Santa Fe AvenueSalina, KS 67401 · Saline County
Emergency services Birthing friendly

Rooks County Health Center

Critical Access Hospitals · Plainville, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171311
Location1210 North WashingtonPlainville, KS 67663 · Rooks County
Emergency services

Hospital District #6 Patterson Health Center

Critical Access Hospitals · Anthony, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171346
Location485 N. Ks Hwy 2Anthony, KS 67003 · Harper County
Emergency services

Lindsborg Community Hospital

Critical Access Hospitals · Lindsborg, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171358
Location605 W Lincoln StreetLindsborg, KS 67456 · Mcpherson County
Emergency services

Memorial Hospital

Critical Access Hospitals · Abilene, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171381
Location511 NE 10th StAbilene, KS 67410 · Dickinson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67401 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.42
Improvement Activities40
Cost77.79

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
100%1,037 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Radiology (Diagnostic Radiology)
119 W IRON AVE FL 5
SALINA, KS 67401
Radiology (Diagnostic Radiology)
119 W IRON AVE FL 5
SALINA, KS 67401
Specialist
119 W IRON AVE FL 5, SUITE A
SALINA, KS 67401
Radiology (Diagnostic Radiology)
119 W IRON AVE FL 5
SALINA, KS 67401
Radiology (Diagnostic Radiology)
119 W IRON AVE FL 5
SALINA, KS 67401
Radiology (Diagnostic Radiology)
119 W IRON AVE FL 5
SALINA, KS 67401
Radiology (Diagnostic Radiology)
119 W IRON AVE FL 5
SALINA, KS 67401

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 Jacob Wallace's NPI number?

The NPI number for Jacob Wallace is 1871974527. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Where is Jacob Wallace located?

Jacob Wallace practices at 119 W Iron Ave Fl 5, Salina, KS 67401. The listed phone number is (785) 827-9526.

What is Jacob Wallace's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jacob Wallace enrolled in Medicare?

Yes. Jacob 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.

What insurance does Jacob Wallace accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Jacob 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 Jacob Wallace affiliated with any hospitals?

According to CMS data, Jacob Wallace is affiliated with Salina Regional Health Center, Rooks County Health Center, Hospital District #6 Patterson Health Center, Lindsborg Community Hospital and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Wallace was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.