ZACHARY C WALLACE MD
NPI 1982353637
Family Medicine in Grafton, WI

Q: What is Zachary Wallace's NPI number?

The NPI number for Zachary Wallace is 1982353637. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Q: What is Zachary Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Wallace was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 March 21, 2022PECOS EnrolledAccepts Medicare Assignment

215 WASHINGTON ST, GRAFTON, WI 53024(262) 375-3700 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Zachary C Wallace Md NPPES

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

ZACHARY C WALLACE MD (NPI 1982353637) is an individual family medicine provider in Grafton, Wisconsin, licensed in Wisconsin (84265) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1982353637

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameZACHARY C WALLACECredential: MD

Location Address215 WASHINGTON STGrafton, WI 53024-1700

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(262) 375-3700

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2022

Enumeration DateMarch 21, 2022

Last NPPES UpdateJuly 31, 2025

NPPES CertifiedJuly 31, 2025

✔ NPI 1982353637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 84265

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

215 WASHINGTON ST, Grafton, WI 53024

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Secondary Practice Location 1

Location 12801 W Kinnickinnic River Pkwy Ste 250Milwaukee, WI 53215-3678 · Phone (414) 649-6732 · Fax (414) 649-5840

Other Identifiers 1

Medicaid100290835WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

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

Zachary C 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 ID9739696493

PECOS Enrollment IDI20250728002385

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.

Aurora Medical Center

Acute Care Hospitals · Grafton, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520207

Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53024 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 20

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

RICHARD J. LUSIS M.D.

Internal Medicine