JOHN GEORGE JR. WALLACE (M.D.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1164467320
Emergency Medical Services (Emergency Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,791 EMERGENCY MEDICINE in CA
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Provider Addresses for JOHN GEORGE JR. WALLACE (M.D.)
West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73142, United States
SUITE 121
OKLAHOMA CITY, OK 731341785
Phone: (405) 751-4664
Fax: (405) 751-3183
Type: Mailing
Providence Little Company of Mary Medical Center Torrance, 4101, Torrance Boulevard, Torrance, Los Angeles County, California, 90503, United States
EM DEPT
TORRANCE, CA 905034607
Phone: (310) 540-7676
Fax: (405) 751-3183
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $14 |
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: 2010-12-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101229000775 | I | Emergency Medicine | CA | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 50 | 50 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 31 | 31 | $0 |
Insurance plans in this area (ZIP 73134)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Emergency Medicine, Pediatric Medicine | AZ | |
| Emergency Medicine, Family Practice | CA | |
| Emergency Medicine | OK | |
| Emergency Medicine | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | HI | |
| Emergency Medicine | CA |
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