RICHARD JAMES JR. WALLACE (MD) – Infectious Disease Physician, NPI 1083698609
Infectious Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RICHARD JAMES JR. WALLACE (MD)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 753731912
Phone: (903) 877-7777
Type: Mailing
University of Texas Health Science Center at Tyler, 11937, US Highway 271, Tyler, Smith County, Texas, 75708, United States
TYLER, TX 757083154
Phone: (903) 877-7777
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($61).
Total Amount
$100
General + Research + Ownership
Payments
6
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $61 |
| Paratek Pharmaceuticals, Inc. | $23 |
| Phathom Pharmaceuticals, Inc. | $16 |
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: 2009-12-11
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 |
|---|---|---|---|---|
| I20091211000031 | I | Infectious Disease | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75373)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | LA | |
| - | TX | |
| Pediatric Medicine, Pulmonary Disease | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Clinical Psychologist | WA | |
| Nurse Practitioner | FL | |
| P S Y C H I A T R Y | TX | |
| - | TX | |
| E N D O C R I N O L O G Y | TX |
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