DR. GENEVIEVE REBECCA WALLACE (MD) – Dermatology Physician, NPI 1750560579
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
364 DERMATOLOGY in CO
Loading map...
Provider Addresses for DR. GENEVIEVE REBECCA WALLACE (MD)
2880, Folsom Street, Boulder, Boulder County, Colorado, 80804, United States
SUITE 200
BOULDER, CO 803043739
Phone: (303) 442-6647
Fax: (303) 442-2696
Type: Location
1056 S 88TH ST
LOUISVILLE, CO 800279460
Phone: (303) 442-6647
Fax: (303) 442-2696
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2023-08-08 • Largest payer in this snapshot: ABBVIE INC. ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $25 |
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: 2016-08-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100719000758 | I | Dermatology | TX | TBD |
| I20160819000828 | I | Dermatology | CO | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 5,627 | 1,448 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 328 | 182 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 166 | 76 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 140 | 61 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 67 | 34 | $0 |
Insurance plans in this area (ZIP 80304)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds) | CO | |
| Micrographic Dermatologic Surgery (Mds) | CO | |
| D E R M A T O L O G Y | VA | |
| Physician Assistant | CO | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | CO | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | CO | |
| Dermatology, Pediatric Medicine | FL | |
| D E R M A T O L O G Y | CO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.