WILLIAM R WALLACE MD
NPI 1962445825
Emergency Medicine in Tyler, TX

Q: What is William Wallace's NPI number?

The NPI number for William Wallace is 1962445825. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is William Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for William Wallace was last updated on April 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 14, 2006PECOS Enrolled

1809 CAPITAL DR, TYLER, TX 75701(903) 509-4499(903) 509-4490 Get Directions Write a Review

NPPES record last updated: April 2, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About William R Wallace Md NPPES

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

WILLIAM R WALLACE MD (NPI 1962445825) is an individual emergency medicine provider in Tyler, Texas, licensed in Texas (H9585) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962445825

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameWILLIAM R WALLACECredential: MD

Location Address1809 CAPITAL DRTyler, TX 75701-8438

Mailing Address1809 Capital DrTyler, TX 75701-8438 · (903) 509-4499 · Fax (903) 509-4490

Phone(903) 509-4499

Fax(903) 509-4490

Sole ProprietorNo

Enumeration DateJune 14, 2006

Last NPPES UpdateApril 2, 2010

✔ NPI 1962445825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in TX · H9585

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.

1809 CAPITAL DR, Tyler, TX 75701

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Other Identifiers 5

Other0076EJTX · Bcbs

Medicare UPINE88168TX

Medicare PIN00H88FTX

Medicare PIN930089208TX

Medicaid139484314TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William R Wallace Md 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 75701 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 6

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

CEC TYLER ER PHYSICIANS PLLC

Emergency Medicine (Emergency Medical Services)