CARL B WALLACH (M.D.) – Gastroenterology Physician, NPI 1962593947

CARL B WALLACH (M.D.) is a healthcare provider. based in West orange, New Jersey. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. MA05476300 (NJ). The NPI Number for CARL B WALLACH (M.D.) is 1962593947

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
CARL B WALLACH (M.D.)
NPI
1962593947
Phone
(973) 731-4600
Address
101 OLD SHORT HILLS RD
Enumeration Date
27 September 2006
Last Update Date
8 September 2014

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
6159729119
Graduation Year
1985 (41 years ago)
PAC ID
3870590714
Group Practice PAC ID
0042441891
Professional Enrollment ID
I20100817000524
Address ID
NJ079322254FL195XXTPKE300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

757 GASTROENTEROLOGY in NJ

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Provider Addresses for CARL B WALLACH (M.D.)

  • Old Short Hills Road, Short Hills, Millburn, Essex County, New Jersey, 07039, United States

    SUITE 217

    WEST ORANGE, NJ 070521000

    Phone: (973) 731-4600

    Fax: (973) 731-0525

    Type: Mailing

  • Madison Avenue, Morristown, Morris County, New Jersey, 07960, United States

    MORRISTOWN, NJ 079607357

    Phone: (973) 455-0404

    Fax: (973) 540-8788

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 444 Open Payments records for all available years, with a total value of $15,681.

Total Amount is formed as General ($15,681) + Research ($0) + Ownership ($0) = $15,681.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: PFIZER INC. ($8,777).

Total Amount

$15,681

General + Research + Ownership

Payments

444

Total payment records

General Amount

$15,681

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2010-08-17

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
I20100817000524IGastroenterologyNJTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes521383$0
99441Telephone medical discussion with physician, 5-10 minutes273195$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope257256$0
45380Biopsy of large bowel using a flexible endoscope213213$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk144144$0
View full utilization report →

Insurance plans in this area (ZIP 07052)

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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: 0042441891View full group profile
NameSpecialtyState
Internal MedicineCT
P A T H O L O G YNJ
A N E S T H E S I O L O G YNJ
P A T H O L O G YNJ
-NJ
P A T H O L O G YNJ
G A S T R O E N T E R O L O G YNJ
A N E S T H E S I O L O G YCT
A N E S T H E S I O L O G YNJ
-NJ

Reviews

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Frequently asked questions

Is there an official ID for CARL B WALLACH (M.D.) in U.S. healthcare records?
The official identifier for CARL B WALLACH (M.D.) is NPI 1962593947.
Active or inactive — what applies to CARL B WALLACH (M.D.)?
You should see CARL B WALLACH (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is CARL B WALLACH (M.D.)?
CARL B WALLACH (M.D.) is associated with Gastroenterology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is CARL B WALLACH (M.D.) located near West Orange?
CARL B WALLACH (M.D.) currently maps to West Orange, New Jersey in this extract.
When was this NPI issued?
Enumeration for CARL B WALLACH (M.D.) is noted as September 27, 2006 where the registry provides it.

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