DAVID WALLACE DO
NPI 1932193604
Anesthesiology in Draper, UT

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment
61.07/100
CMS Quality Rating
738 GOLDEN PHEASANT DR, DRAPER, UT 84020(801) 403-7980 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Wallace Do NPPES

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

DAVID WALLACE DO (NPI 1932193604) is an individual anesthesiology provider in Draper, Utah, licensed in Utah (272263-1205) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Dupont Hospital Llc, and is a graduate of Michigan State University College Of Osteopathic Medicine (1986).

NPPES Registry Identity

NPI1932193604
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDAVID WALLACECredential: DO
Location Address738 GOLDEN PHEASANT DRDraper, UT 84020-8454
Mailing Address738 Golden Pheasant DrDraper, UT 84020-8454 · (801) 403-7980
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1986
Enumeration DateSeptember 8, 2005
Last NPPES UpdateOctober 10, 2007
NPI 1932193604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses Licensed in UT · 272263-1205 Licensed in MI · 5101010132 Licensed in MS · 15448 Licensed in ID · O-168
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
738 GOLDEN PHEASANT DR, Draper, UT 84020

Other Identifiers 2

Medicare UPINF07597UT
MedicaidD4253UT

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

David Wallace 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 ID8527952894
PECOS Enrollment IDI20080128000791
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.

Hospital Affiliations CMS Care Compare

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

Dupont Hospital LLC

Acute Care Hospitals · Fort Wayne, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150150
Location2520 E Dupont RdFort Wayne, IN 46825 · Allen County
Emergency services Birthing friendly

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.

61.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.2
Improvement Activities40

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 David Wallace's NPI number?

The NPI number for David Wallace is 1932193604. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is David Wallace located?

David Wallace practices at 738 Golden Pheasant Dr, Draper, UT 84020. The listed phone number is (801) 403-7980.

What is David Wallace's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is David Wallace enrolled in Medicare?

Yes. David 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.

Is David Wallace affiliated with any hospitals?

According to CMS data, David Wallace is affiliated with Dupont Hospital LLC.

When was this NPI record last updated?

The NPPES record for David Wallace was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.