BRADLEY WALLACE M.D.
NPI 1881038115
Surgery in Colorado Springs, CO

Active since April 17, 2013PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1400 E BOULDER ST STE 500, COLORADO SPRINGS, CO 80909(719) 364-6487 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bradley Wallace M.d. NPPES

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

BRADLEY WALLACE M.D. (NPI 1881038115) is an individual surgery provider in Colorado Springs, Colorado, licensed in Colorado (DR.0063071) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2013).

NPPES Registry Identity

NPI1881038115
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBRADLEY WALLACECredential: M.D.
Location Address1400 E BOULDER ST STE 500Colorado Springs, CO 80909-5533
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (719) 364-6487
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2013
Enumeration DateApril 17, 2013
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
NPI 1881038115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CO · DR.0063071
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1400 E BOULDER ST STE 500, Colorado Springs, CO 80909

Secondary Practice Location 1

Location 113001 E. 17th Place, University of Colorado School of Medicine GMEAurora, CO 80045-2581 · Phone (303) 724-2680

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

Bradley 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 ID3375854490
PECOS Enrollment IDI20220922002158
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 35 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.
53 services24 patients
Upper gastrointestinal (GI) endoscopy for acid reflux NAN12
An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.
0 services1 patient
Hernia repair - groin (open) NAN19
Hernia repair in the groin area (open) is a surgical procedure to fix a bulge or protrusion, caused by internal tissues pushing through a weak spot in your abdominal wall. In this operation, a small incision is made in the groin area. The protruding tissue is then placed back into the abdomen, and the weakened area is reinforced with stitches or a mesh.
0 services1 patient

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80909 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
1400 E BOULDER ST STE 500
COLORADO SPRINGS, CO 80909
Surgery
1400 E BOULDER ST STE 500
COLORADO SPRINGS, CO 80909
Physician Assistant
1400 E BOULDER ST STE 500
COLORADO SPRINGS, CO 80909
Nurse Practitioner
1400 E BOULDER ST STE 500
COLORADO SPRINGS, CO 80909
Nurse Practitioner (Family)
1400 E BOULDER ST STE 500
COLORADO SPRINGS, CO 80909
Nurse Practitioner (Family)
1400 E BOULDER ST STE 500
COLORADO SPRINGS, CO 80909
Physician Assistant
1400 E BOULDER ST STE 500
COLORADO SPRINGS, CO 80909
Physician Assistant (Surgical)
1400 E BOULDER ST STE 500
COLORADO SPRINGS, CO 80909

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881038115, enumerated as an "individual" on April 17, 2013.

The provider is located at 1400 E BOULDER ST STE 500 COLORADO SPRINGS, CO 80909 and the phone number is (719) 364-6487.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.