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DR. MARK ALLEN WALLACE D.O.
NPI 1952591828
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Rockport, ME

Active since July 27, 2007PECOS EnrolledAccepts Medicare Assignment
15 ANCHOR DR STE 102, ROCKPORT, ME 04856(207) 301-3660(207) 301-5160 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 29, 2026, Sep 3, 2025 (2 updates tracked since 2025).

About Dr. Mark Allen Wallace D.o. NPPES

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

DR. MARK ALLEN WALLACE D.O. (NPI 1952591828) is an individual otolaryngology/facial plastic surgery provider in Rockport, Maine, licensed in Maine (DO3910) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952591828
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. MARK ALLEN WALLACECredential: D.O.
Location Address15 ANCHOR DR STE 102Rockport, ME 04856-3847
Mailing Address15 Anchor Dr Ste 102Rockport, ME 04856-3847 · (207) 301-3660 · Fax (207) 301-5160
Phone(207) 301-3660
Fax(207) 301-5160
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 27, 2007
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1952591828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
Licenses✔ Licensed in ME · DO3910✔ Licensed in MI · 5101015234
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License DO3910 (ME)
15 ANCHOR DR STE 102, Rockport, ME 04856
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1116 Northport Ave Ste 118Belfast, ME 04915-6096 · Phone (207) 505-4367 · Fax (207) 338-4486
Location 2333 Magazine St, Suite 101Sault Sainte Marie, MI 49783-1867 · Phone (906) 259-0244 · Fax (906) 259-0247

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. Mark Allen Wallace D.o. 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 ID4385724004
PECOS Enrollment IDI20190814000245, I20260212002117
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Lincolnhealth

Critical Access Hospitals · Damariscotta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201302
Location35 Miles StreetDamariscotta, ME 04543 · Lincoln County
Emergency services

Commonwealth Health Center

Acute Care Hospitals · Garapan, MP
OwnershipProprietary
CMS Certification Number660001
Location1 Lower Navy Hill Road (po Box 409ck)Garapan, MP 96950 · Saipan County
Emergency services

Other Providers at the Same Location NPPES

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

DR. EMMA ELIZABETH WOOLF AUD
Audiologist
15 ANCHOR DR STE 102
ROCKPORT, ME 04856
Knox County (207) 301-3660

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 Mark Wallace's NPI number?

The NPI number for Mark Wallace is 1952591828. It was assigned to this individual provider in the NPPES registry on July 27, 2007.

Where is Mark Wallace located?

Mark Wallace practices at 15 Anchor Dr Ste 102, Rockport, ME 04856. The listed phone number is (207) 301-3660.

What is Mark Wallace's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Mark Wallace enrolled in Medicare?

Yes. Mark 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 Mark Wallace affiliated with any hospitals?

According to CMS data, Mark Wallace is affiliated with Maine General Medical Center, Penobscot Bay Medical Center, Lincolnhealth and Commonwealth Health Center.

When was this NPI record last updated?

The NPPES record for Mark Wallace was last updated on January 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.