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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SEAN JOSEPH WALLACE M.D.
NPI 1962813949
Plastic Surgery in Washington, DC

Active since May 13, 2014PECOS EnrolledAccepts Medicare Assignment
2300 M ST NW, WASHINGTON, DC 20037(202) 741-3240(202) 741-2594 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2026, Jun 9, 2023, Aug 6, 2021 (3 updates tracked since 2021).

About Dr. Sean Joseph Wallace M.d. NPPES

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

DR. SEAN JOSEPH WALLACE M.D. (NPI 1962813949) is an individual plastic surgery provider in Washington, District Of Columbia, licensed in District Of Columbia (MD210011695) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1962813949
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. SEAN JOSEPH WALLACECredential: M.D.
Location Address2300 M ST NWWashington, DC 20037-1434
Mailing Address2300 M St NwWashington, DC 20037-1434
Phone(202) 741-3240
Fax(202) 741-2594
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 13, 2014
Last NPPES UpdateSeptember 22, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1962813949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in DC · MD210011695
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2300 M ST NW, Washington, DC 20037
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sean Joseph Wallace M.d. 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 ID9436376795
PECOS Enrollment IDI20230627000608, I20260528003272
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sean Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Faculty Associates, Inc
0.4 mi
Anesthesiology
2150 PENNSYLVANIA AVE NW, SUITE 10-409A
Washington, DC 20037
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,275 clinicians in this Medicare group
NPI 1417990581 (202) 741-3350
University Of Utah Adult Services
1,835 mi
Orthopaedic Surgery
9385 S SNOWBIRD CENTER DR
Sandy, UT 84092
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1851904247 (801) 587-7109

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20037 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 20

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

MATTHEW JOHN TAGLIERI DO
Internal Medicine
2300 M ST NW
WASHINGTON, DC 20037
District of Columbia (202) 715-5109
TAYLOR ALZABEN
Nurse Practitioner (Family)
2300 M ST NW
WASHINGTON, DC 20037
District of Columbia (202) 741-3100
ASHLEY KING AU.D.
Audiologist
2300 M ST NW
WASHINGTON, DC 20037
District of Columbia (410) 991-4749
RAFIQ SHAHID MD
Pathology (Anatomic Pathology & Clinical Pathology)
2300 M ST NW
WASHINGTON, DC 20037
District of Columbia (202) 677-6600
MRS. MONICA ELENA BAENA NP
Nurse Practitioner (Adult Health)
2300 M ST NW
WASHINGTON, DC 20037
District of Columbia (202) 741-3000
ROBERT W LASH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2300 M ST NW
WASHINGTON, DC 20037
District of Columbia (202) 741-2302
DR. CHAVON MARIA ONUMAH M.D., M.P.H
Internal Medicine
2300 M ST NW
WASHINGTON, DC 20037
District of Columbia (202) 741-2222
AMANDA GALLAGHER NP-C
Nurse Practitioner (Family)
2300 M ST NW
WASHINGTON, DC 20037
District of Columbia (202) 741-3333

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 Sean Wallace's NPI number?

The NPI number for Sean Wallace is 1962813949. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Sean Wallace located?

Sean Wallace practices at 2300 M St NW, Washington, DC 20037. The listed phone number is (202) 741-3240.

What is Sean Wallace's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Sean Wallace enrolled in Medicare?

Yes. Sean 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.

Which organizations bill Medicare for Sean Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Wallace reassigns Medicare benefits to 2 organizations: Medical Faculty Associates, Inc (Washington, DC) and University Of Utah Adult Services (Sandy, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Wallace accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Sean Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sean Wallace affiliated with any hospitals?

According to CMS data, Sean Wallace is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Sean Wallace was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.