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

DR. BRUCE ALLEN WALLACE JR. DO
NPI 1881124816
Emergency Medicine in Hillsboro, OH

Active since June 13, 2017PECOS Enrolled
1275 N HIGH ST, HILLSBORO, OH 45133(614) 393-6100(614) 293-2809 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2025, Jun 22, 2020, Mar 12, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Bruce Allen Wallace Jr. Do NPPES

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

DR. BRUCE ALLEN WALLACE JR. DO (NPI 1881124816) is an individual emergency medicine provider in Hillsboro, Ohio, licensed in Michigan (5101025046) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1881124816
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BRUCE ALLEN WALLACE JR.Credential: DO
Location Address1275 N HIGH STHillsboro, OH 45133-8273
Mailing Address22165 Heatheridge LnNorthville, MI 48167-9300 · (314) 401-4941
Fax(614) 293-2809
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2017
Enumeration DateJune 13, 2017
Last NPPES UpdateOctober 19, 20264 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1881124816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MI · 5101025046✔ Licensed in IN · 02006388A✔ Licensed in OH · 34C.000547✔ Licensed in IL · 036171615
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1275 N HIGH ST, Hillsboro, OH 45133

Secondary Practice Locations 4

Location 1405 W Jackson StCarbondale, IL 62901-1462 · Phone (618) 549-0721 ext. 65150 · Fax (618) 457-0469
Location 22 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156 ext. 55620 · Fax (618) 529-0524
Location 3201 S 14th StHerrin, IL 62948-3631 · Phone (618) 942-2171 ext. 35130 · Fax (618) 351-4917
Location 4100 Dr Warren Tuttle DrHarrisburg, IL 62946-2718 · Phone (618) 253-0350 · Fax (618) 252-2425

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bruce Allen Wallace Jr. Do 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 ID941622856
PECOS Enrollment IDI20200623001910, I20210521001123, I20241113003391, I20260108002232, I20260609000674
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.

Medicare Billing Reassignments

18

Medicare enrollment records show Bruce Wallace reassigns Medicare billing to 18 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
10500 MONTGOMERY RD
Montgomery, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 119 clinicians in this Medicare group
Neurology
555 METRO PL N
Dublin, OH 43017
  • Reassigned Medicare billing, Ohio enrollment
  • 177 clinicians in this Medicare group
Emergency Medicine
1373 E STATE ROAD 62
Madison, IN 47250
  • Reassigned Medicare billing, Indiana and Michigan enrollments
  • Also billed through NPI 1881498202 (Michigan)
  • 598 clinicians in this Medicare group
Emergency Medicine
200 W LORAIN ST
Oberlin, OH 44074
  • Reassigned Medicare billing, Ohio enrollment
  • 51 clinicians in this Medicare group
Emergency Medicine
1075 MEDICAL CENTER PARKWAY
Maumee, OH 43537
  • Reassigned Medicare billing, Ohio enrollment
  • 375 clinicians in this Medicare group
Emergency Medicine
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 51 clinicians in this Medicare group
Emergency Medicine
2142 N COVE BLVD
Toledo, OH 43606
  • Reassigned Medicare billing, Michigan and Ohio enrollments
  • 95 clinicians in this Medicare group
Emergency Medicine
2142 N COVE BLVD
Toledo, OH 43606
  • Reassigned Medicare billing, Ohio enrollment
  • 124 clinicians in this Medicare group
Emergency Medicine
5640 N ADRIAN HWY
Adrian, MI 49221
  • Reassigned Medicare billing, Michigan enrollment
  • 95 clinicians in this Medicare group
Rural
916 MYRTLE ST
Sturgis, MI 49091
  • Reassigned Medicare billing, Michigan enrollment
  • 35 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
273 services264 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
184 services175 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
86 services83 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services47 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
21 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Hamilton Memorial Hospital

Critical Access Hospitals · Mcleansboro, IL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141326
Location611 S Marshall AvenueMcleansboro, IL 62859 · Hamilton County
Emergency services

Lawrence County Memorial Hospital

Critical Access Hospitals · Lawrenceville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141344
Location2200 State StLawrenceville, IL 62439 · Lawrence County
Emergency services

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45133 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Emergency Medicine
1275 N HIGH ST
HILLSBORO, OH 45133
Clinic/Center (Primary Care)
1275 N HIGH ST
HILLSBORO, OH 45133
Orthopaedic Surgery
1275 N HIGH ST
HILLSBORO, OH 45133
Pharmacist
1275 N HIGH ST
HILLSBORO, OH 45133
Nurse Practitioner
1275 N HIGH ST
HILLSBORO, OH 45133
Pharmacist
1275 N HIGH ST
HILLSBORO, OH 45133
Orthopaedic Surgery
1275 N HIGH ST
HILLSBORO, OH 45133
Medicare Defined Swing Bed Unit
1275 N HIGH ST
HILLSBORO, OH 45133

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 Bruce Wallace's NPI number?

The NPI number for Bruce Wallace is 1881124816. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Bruce Wallace located?

Bruce Wallace practices at 1275 N High St, Hillsboro, OH 45133. The listed phone number is (614) 393-6100.

What is Bruce Wallace's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Bruce Wallace enrolled in Medicare?

Yes. Bruce 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.

Which organizations bill Medicare for Bruce Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bruce Wallace reassigns Medicare benefits to 18 organizations: Qualified Emergency Specialists Inc (Montgomery, OH), Osup Community Outreach LLC (Dublin, OH), Cep America LLC (Madison, IN), Allen Emergency Physicians, LLC (Oberlin, OH), The Toledo Hospital (Maumee, OH) and 13 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bruce Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bruce Wallace accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and Cigna Healthcare and 1 other insurer list Bruce 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 Bruce Wallace affiliated with any hospitals?

According to CMS data, Bruce Wallace is affiliated with Carle Foundation Hospital, Hamilton Memorial Hospital, Lawrence County Memorial Hospital, Mercy Hospital South and Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Bruce Wallace was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.