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DR. WALLACE JACK SCHWAM M.D.
NPI 1902144694
Internal Medicine - Geriatric Medicine in Pismo Beach, CA

Active since January 30, 2013PECOS Enrolled
210 INDIO DR, PISMO BEACH, CA 93449(805) 231-8699 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Wallace Jack Schwam M.d. NPPES

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

DR. WALLACE JACK SCHWAM M.D. (NPI 1902144694) is an individual geriatric medicine provider in Pismo Beach, California, licensed in California (GFE12267) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902144694
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. WALLACE JACK SCHWAMCredential: M.D.
Location Address210 INDIO DRPismo Beach, CA 93449-1514
Mailing AddressPo Box 1158Solvang, CA 93464-1158 · (805) 231-8699
Phone(805) 231-8699
Sole ProprietorYes
Enumeration DateJanuary 30, 2013
✔ NPI 1902144694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in CA · GFE12267
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
210 INDIO DR, Pismo Beach, CA 93449
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wallace Jack Schwam M.d. 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 93449 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
$178.89 typical visit price
range $59.84 – $178.89
Typical copayment $44.72 (range $14.96 – $44.72)
Most-billed visit code 99205
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

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 Wallace Schwam's NPI number?

The NPI number for Wallace Schwam is 1902144694. It was assigned to this individual provider in the NPPES registry on January 30, 2013.

Where is Wallace Schwam located?

Wallace Schwam practices at 210 Indio Dr, Pismo Beach, CA 93449. The listed phone number is (805) 231-8699.

What is Wallace Schwam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Wallace Schwam enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Wallace Schwam was last updated on January 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.