DR. THOMAS R WALLACE (M.D.) – Ophthalmology Physician, NPI 1124021696

DR. THOMAS R WALLACE (M.D.) is a healthcare provider. based in Hot springs, Arkansas. specializing in Ophthalmology Physician. They hold the professional credentials M.D.. They hold a License No. C4653 (AR). The NPI Number for DR. THOMAS R WALLACE (M.D.) is 1124021696

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS R WALLACE (M.D.)
NPI
1124021696
Phone
(501) 624-0609
Address
211 MCAULEY CT
Enumeration Date
27 May 2005
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
5016240609
Graduation Year
1972 (54 years ago)
PAC ID
5597742130
Group Practice PAC ID
2567784572
Professional Enrollment ID
I20100609000449
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DR. THOMAS R WALLACE (M.D.)

  • McAuley Court, Hot Springs, Garland County, Arkansas, 71913, United States

    HOT SPRINGS, AR 719136314

    Phone: (501) 624-0609

    Fax: (501) 624-6191

    Mailing address matches the actual address.

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: 2010-06-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100609000449IOphthalmologyARTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 71913)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567784572View full group profile
NameSpecialtyState
O P T O M E T R YAR
O P T O M E T R YAR
O P H T H A L M O L O G YAR
O P H T H A L M O L O G YAR
O P T O M E T R YAR

Reviews

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Frequently asked questions

What is the standard ID for DR. THOMAS R WALLACE (M.D.) in the U.S.?
In the U.S., DR. THOMAS R WALLACE (M.D.) is identified by NPI 1124021696.
Should I treat DR. THOMAS R WALLACE (M.D.) as an active provider?
Patients and plans typically see DR. THOMAS R WALLACE (M.D.) as active in the national extract.
What services align with DR. THOMAS R WALLACE (M.D.)'s listing?
DR. THOMAS R WALLACE (M.D.)'s public classification highlights Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is DR. THOMAS R WALLACE (M.D.) tied to Hot Springs, Arkansas?
If you are local to Hot Springs, Arkansas, DR. THOMAS R WALLACE (M.D.) may be relevant to your search.
Can I export DR. THOMAS R WALLACE (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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