JEFFREY LEIGH WALLACE (MD) – Surgery Physician, NPI 1548262108
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9 PERIPHERAL VASCULAR DISEASE in AL
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Provider Addresses for JEFFREY LEIGH WALLACE (MD)
104 PINETOP CIRCLE
FAIRHOPE, AL 36532
Phone: (251) 725-2050
Type: Mailing
411, North Section Street, Volanta, Fairhope, Baldwin County, Alabama, 36532, United States
FAIRHOPE, AL 365322649
Phone: (251) 928-9090
Fax: (251) 990-0520
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-02-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100202000687 | I | General Surgery | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 642 | 212 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 616 | 179 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 521 | 142 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 236 | 94 | $0 |
| 17250 | Application of chemical to stop tissue regrowth in wound | 227 | 65 | $0 |
Insurance plans in this area (ZIP 36532)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | AL | 11042 | Removal of skin and tissue first 20 sq cm or less | 363 | 141 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WV | |
| Family Practice | DE | |
| Internal Medicine | NY | |
| General Practice | FL | |
| Nurse Practitioner | PA | |
| General Surgery | AL | |
| General Practice | NY | |
| General Practice | OH | |
| Nurse Practitioner | KY | |
| Family Practice, Peripheral Vascular Disease | OH |
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