GRANT MEYER WALLACE – Clinical Cardiac Electrophysiology Physician, NPI 1831516491

GRANT MEYER WALLACE is a healthcare provider. based in Lincoln, Nebraska. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold a License No. 35718 (NE). The NPI Number for GRANT MEYER WALLACE is 1831516491

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
GRANT MEYER WALLACE
NPI
1831516491
Phone
(402) 483-3333
Address
1600 S 48TH ST
Enumeration Date
20 March 2014
Last Update Date
12 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4024833333
Graduation Year
2014 (12 years ago)
PAC ID
3779800420
Group Practice PAC ID
7911803796
Professional Enrollment ID
I20230929001165
Address ID
NE685061274LI1600XSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

23 CARDIAC ELECTROPHYSIOLOGY in NE

Provider Addresses for GRANT MEYER WALLACE

  • 1600 S 48TH ST

    LINCOLN, NE 685061283

    Phone: (402) 483-3333

    Type: Location

  • 700 CHILDRENS DR

    COLUMBUS, OH 432052664

    Phone: (614) 722-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $5,189.

Total Amount is formed as General ($5,189) + Research ($0) + Ownership ($0) = $5,189.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Medtronic, Inc. ($2,551).

Total Amount

$5,189

General + Research + Ownership

Payments

37

Total payment records

General Amount

$5,189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-09-29

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
I20230929001165ICardiac ElectrophysiologyNETBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only235220$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12376$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report7373$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes4444$0
93227Electrocardiogram (ecg) 2-day continuous with review by health care professional4141$0
View full utilization report →

Insurance plans in this area (ZIP 68506)

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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: 7911803796View full group profile
NameSpecialtyState
Physician AssistantNE
Cardiovascular Disease (Cardiology), Internal MedicineNE
Vascular SurgeryNE
Cardiovascular Disease (Cardiology)NE
Internal Medicine, Cardiovascular Disease (Cardiology), Internal Medicine, Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology)NE
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerNE
Nurse PractitionerNE
Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant Cardiology, Nuclear MedicineNE

Reviews

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Frequently asked questions

What identifier follows GRANT MEYER WALLACE across health systems?
The NPI 1831516491 uniquely identifies GRANT MEYER WALLACE in U.S. healthcare data.
Does the public listing show GRANT MEYER WALLACE as active?
GRANT MEYER WALLACE's NPI record reflects an active status in NPPES.
What services align with GRANT MEYER WALLACE's listing?
GRANT MEYER WALLACE's public classification highlights Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to GRANT MEYER WALLACE?
The directory associates GRANT MEYER WALLACE with Lincoln, Nebraska. Check all listed addresses for suites or satellite offices.
Who maintains GRANT MEYER WALLACE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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