DR. ERIC L WALLACE (D.O.) – Interventional Cardiology Physician, NPI 1568658243
Interventional Cardiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
40 INTERVENTIONAL CARDIOLOGY in ID
Provider Addresses for DR. ERIC L WALLACE (D.O.)
415 6TH ST
Lewiston, ID 83501
Phone: (208) 750-7507
Type: Location
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Phone: (208) 625-5084
Type: Location
700 W IRONWOOD DR
320
COEUR D ALENE, ID 838142656
Phone: (208) 625-5250
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $1,116.
Total Amount is formed as General ($1,116) + Research ($0) + Ownership ($0) = $1,116.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Abbott Laboratories ($259).
Total Amount
$1,116
General + Research + Ownership
Payments
29
Total payment records
General Amount
$1,116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $259 |
| Chiesi USA, Inc. | $220 |
| Boston Scientific Corporation | $219 |
| Medtronic, Inc. | $191 |
| Janssen Pharmaceuticals, Inc | $102 |
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: 2015-05-19
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 |
|---|---|---|---|---|
| I20150519002539 | I | Interventional Cardiology | ID | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 688 | 611 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 622 | 609 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 403 | 368 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 157 | 84 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 120 | 119 | $0 |
Insurance plans in this area (ZIP 83501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | ID | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 87 | 87 |
| INTERVENTIONAL CARDIOLOGY | ID | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 628 | 523 |
| INTERVENTIONAL CARDIOLOGY | ID | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 22 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | ID | |
| Physician Assistant | ID | |
| Surgical Oncology, Hematology/Oncology, General Surgery | WA | |
| Pulmonary Disease, Critical Care (Intensivists) | ID | |
| Physician Assistant | ID | |
| Undefined Non Physician Type (Specify) | ID | |
| Physician Assistant | UT | |
| Certified Nurse Midwife (Cnm) | ID | |
| Physician Assistant | ID | |
| Internal Medicine | TX |
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