DR. WILLIAM CAMPBELL WALLACE (M.D.) – Surgery Physician, NPI 1528088960
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,317 GENERAL SURGERY in CA
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Provider Addresses for DR. WILLIAM CAMPBELL WALLACE (M.D.)
Women's Hospital, 24411, Health Center Drive, Laguna Hills, Orange County, California, 92653, United States
SUITE 350
LAGUNA HILLS, CA 926533651
Phone: (949) 457-7900
Fax: (949) 588-8719
Type: Mailing
24411 HEALTH CENTER DR STE 350
LAGUNA HILLS, CA 926533687
Phone: (949) 457-7900
Fax: (949) 588-8719
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $316.
Total Amount is formed as General ($316) + Research ($0) + Ownership ($0) = $316.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Davol Inc. ($163).
Total Amount
$316
General + Research + Ownership
Payments
7
Total payment records
General Amount
$316
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $163 |
| Medtronic, Inc. | $55 |
| ABBVIE INC. | $41 |
| Intuitive Surgical, Inc. | $37 |
| Becton, Dickinson and Company | $20 |
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: 2011-01-03
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 |
|---|---|---|---|---|
| I20110103000563 | I | General Surgery | CA | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 90 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 51 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 60 | 35 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 60 | 59 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 51 | 31 | $0 |
Insurance plans in this area (ZIP 92653)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice, Vascular Surgery | CA | |
| Physician Assistant | CA | |
| General Surgery | CA | |
| Vascular Surgery, General Surgery | CA | |
| General Surgery | CA | |
| Vascular Surgery | CA | |
| Vascular Surgery | CA | |
| Colorectal Surgery (Proctology), General Surgery | CA | |
| Colorectal Surgery (Proctology) | CA | |
| General Surgery | CA |
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