DR. PRISCILLA JANE WALLACE MD
NPI 1932210069
Radiology - Diagnostic Radiology in Portland, OR

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
98.75/100
CMS Quality Rating
233 NE 102ND AVE, PORTLAND, OR 97220(503) 535-8325(503) 535-8399 Get Directions Write a Review

NPPES record last updated: August 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Priscilla Jane Wallace Md NPPES

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

DR. PRISCILLA JANE WALLACE MD (NPI 1932210069) is an individual diagnostic radiology provider in Portland, Oregon, licensed in Oregon (MD175728) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1988).

NPPES Registry Identity

NPI1932210069
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. PRISCILLA JANE WALLACECredential: MD
Location Address233 NE 102ND AVEPortland, OR 97220
Mailing Address233 Ne 102nd AvePortland, OR 97220-4106
Fax(503) 535-8399
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1988
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 26, 2015
NPI 1932210069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in OR · MD175728
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
233 NE 102ND AVE, Portland, OR 97220

Other Names 1

Former Name (1)Dr. Priscilla W Alexander Md

Other Identifiers 2

Medicare UPINF33554
Medicare ID-Type Unspecified116720OR

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

Dr. Priscilla Jane Wallace Md 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 ID6406746221
PECOS Enrollment IDI20040317000042
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 22

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
2,620 services16 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,100 services12 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.
443 services443 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.
442 services442 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
166 services166 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.
36 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97220 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

98.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.5
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Radiology (Diagnostic Radiology)
233 NE 102ND AVE
PORTLAND, OR 97220
Radiology (Diagnostic Radiology)
233 NE 102ND AVE
PORTLAND, OR 97220
Radiology (Diagnostic Radiology)
233 NE 102ND AVE
PORTLAND, OR 97220
Radiology (Diagnostic Radiology)
233 NE 102ND AVE
PORTLAND, OR 97220
Radiology (Diagnostic Radiology)
233 NE 102ND AVE
PORTLAND, OR 97220
Radiology (Diagnostic Radiology)
233 NE 102ND AVE
PORTLAND, OR 97220
Radiology (Diagnostic Radiology)
233 NE 102ND AVE
PORTLAND, OR 97220
Radiology (Body Imaging)
233 NE 102ND AVE
PORTAND, OR 97220

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 Priscilla Wallace's NPI number?

The NPI number for Priscilla Wallace is 1932210069. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Dr. Priscilla W Alexander MD.

Where is Priscilla Wallace located?

Priscilla Wallace practices at 233 NE 102nd Ave, Portland, OR 97220. The listed phone number is (503) 535-8325.

What is Priscilla Wallace's specialty?

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

Is Priscilla Wallace enrolled in Medicare?

Yes. Priscilla 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.

When was this NPI record last updated?

The NPPES record for Priscilla Wallace was last updated on August 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.