JEFFREY WALLACE (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1215027990

JEFFREY WALLACE (MD) is a healthcare provider. based in Aurora, Colorado. specializing in GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 0027855 (CO). The NPI Number for JEFFREY WALLACE (MD) is 1215027990

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY WALLACE (MD)
NPI
1215027990
Phone
(303) 493-7000
Address
PO BOX 876
Enumeration Date
13 October 2006
Last Update Date
8 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
7195893671
Graduation Year
1984 (42 years ago)
PAC ID
4082748231
Group Practice PAC ID
0345267779
Professional Enrollment ID
I20100810000911
Address ID
CO811019610AL8745X9XXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

92 GERIATRIC MEDICINE in CO

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Provider Addresses for JEFFREY WALLACE (MD)

  • PO BOX 876

    AURORA, CO 800400876

    Phone: (303) 493-7000

    Type: Mailing

  • University of Colorado Hospital, 12605, East 16th Avenue, Aurora, Adams County, Colorado, 80045, United States

    AURORA, CO 800452545

    Phone: (720) 848-0000

    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: 2010-08-10

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
I20100810000911IGeriatric MedicineCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes341139$0
99214Established patient office or other outpatient visit, 30-39 minutes6758$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or5512$0
99443Telephone medical discussion with physician, 21-30 minutes3821$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3711$0
View full utilization report →

Insurance plans in this area (ZIP 80040)

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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: 0345267779View full group profile
NameSpecialtyState
-CO
Mental Health CounselorCO
Clinical Social WorkerCO
Mental Health CounselorCO
Nurse PractitionerCO
Mental Health CounselorCO
Mental Health CounselorCO
Mental Health CounselorCO
Mental Health CounselorCO
Mental Health CounselorCO

Reviews

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Frequently asked questions

What is JEFFREY WALLACE (MD)'s NPI number?
JEFFREY WALLACE (MD)'s NPI is 1215027990 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JEFFREY WALLACE (MD)?
For scheduling context, JEFFREY WALLACE (MD) is shown as active in the registry.
What expertise is attributed to JEFFREY WALLACE (MD)?
JEFFREY WALLACE (MD)'s specialty line reads Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is JEFFREY WALLACE (MD) located near Aurora?
JEFFREY WALLACE (MD) currently maps to Aurora, Colorado in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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