SHARON K WALLACE (MD) – Diagnostic Radiology Physician, NPI 1629023239
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SHARON K WALLACE (MD)
70, Doctors Park, Cape Girardeau, Cape Girardeau County, Missouri, 63703, United States
CAPE GIRARDEAU, MO 63703
Phone: (573) 334-6071
Fax: (573) 334-4739
Mailing address matches the actual address.
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: 2022-03-01
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 |
|---|---|---|---|---|
| I20050805000306 | I | Diagnostic Radiology | MD | TBD |
| I20220301000704 | I | Diagnostic Radiology | WA | 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 |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 137 | 130 | $0 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 114 | 114 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 105 | 105 | $0 |
| 76700 | Complete ultrasound scan of abdomen | 93 | 93 | $0 |
| 70551 | Mri scan of brain without contrast | 87 | 85 | $0 |
Insurance plans in this area (ZIP 63703)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MO | 71010 | X-ray of chest, 1 view, front | 22 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NY | |
| N E U R O L O G Y | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MD | |
| - | MD | |
| R H E U M A T O L O G Y | PA | |
| - | MD | |
| Nurse Practitioner | MD | |
| Radiation Oncology | PA | |
| Physician Assistant | MD | |
| Nurse Practitioner | MD |
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