STEPHEN BLAKE WALLACE (MD) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1205222502
Orthopaedic Foot and Ankle Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
747 ORTHOPEDIC SURGERY in CO
Provider Addresses for STEPHEN BLAKE WALLACE (MD)
10361 E 28TH PL
DENVER, CO 802383051
Phone: (225) 572-6083
Type: Mailing
3055 ROSLYN ST UNIT 200
DENVER, CO 802383324
Phone: (303) 724-7378
Type: Location
5323 Harry Hines Blvd
Dallas, TX 753907201
Phone: (214) 648-0253
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $6,077.
Total Amount is formed as General ($6,077) + Research ($0) + Ownership ($0) = $6,077.
Last reported payment date: 2024-08-11 • Largest payer in this snapshot: Extremity Medical ($3,000).
Total Amount
$6,077
General + Research + Ownership
Payments
38
Total payment records
General Amount
$6,077
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Extremity Medical | $3,000 |
| Arthrex, Inc. | $1,035 |
| Stryker Corporation | $572 |
| VILEX LLC | $500 |
| restor3d, inc. | $207 |
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: 2021-05-04
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 |
|---|---|---|---|---|
| I20210504000184 | I | Orthopedic Surgery | TX | 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 |
|---|---|---|---|---|
| 73630 | X-ray of foot, minimum of 3 views | 250 | 163 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 201 | 123 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 189 | 109 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 132 | 124 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 103 | 103 | $0 |
Insurance plans in this area (ZIP 80238)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | GA | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | OK | |
| Orthopedic Surgery | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery, Hand Surgery | TX |
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