DR. JEFFREY S WALLACE (M.D.) – Orthopaedic Surgery Physician, NPI 1629089156

DR. JEFFREY S WALLACE (M.D.) is a healthcare provider. based in Rockwall, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. J3932 (TX). The NPI Number for DR. JEFFREY S WALLACE (M.D.) is 1629089156

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY S WALLACE (M.D.)
NPI
1629089156
Phone
(972) 463-1253
Address
PO BOX 2108
Enumeration Date
10 August 2006
Last Update Date
6 January 2020

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
9724631253
Graduation Year
1991 (35 years ago)
PAC ID
4486632031
Professional Enrollment ID
I20050114000500
Address ID
TX750878799RO6701XPKWY305

Contacts

Secure Messaging
Jwallace@jeffreyswallacemd.careclouddirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,187 ORTHOPEDIC SURGERY in TX

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Provider Addresses for DR. JEFFREY S WALLACE (M.D.)

  • Rockwall Post Office, 609, South Goliad Street, Rockwall, Rockwall County, Texas, 75087, United States

    ROCKWALL, TX 750875008

    Phone: (972) 463-1253

    Fax: (972) 463-0758

    Type: Mailing

  • Heritage Parkway, Rowlett, Rockwall County, Texas, 75030, United States

    ROCKWALL, TX 750878746

    Phone: (972) 463-1253

    Fax: (214) 607-1641

    Type: Location

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: 2005-01-14

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
I20050114000500IOrthopedic SurgeryTXTBD

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 minutes6841$0
99204New patient office or other outpatient visit, 45-59 minutes3939$0
99213Established patient office or other outpatient visit, 20-29 minutes2117$0
View full utilization report →

Insurance plans in this area (ZIP 75087)

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Provider's Procedures

DR. JEFFREY S WALLACE (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYTX20610Aspiration and/or injection of large joint or joint capsule2513

Reviews

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Frequently asked questions

Can I cross-check DR. JEFFREY S WALLACE (M.D.) using NPI 1629089156?
NPI 1629089156 belongs to DR. JEFFREY S WALLACE (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. JEFFREY S WALLACE (M.D.)?
You should see DR. JEFFREY S WALLACE (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. JEFFREY S WALLACE (M.D.)?
DR. JEFFREY S WALLACE (M.D.) is associated with Orthopaedic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JEFFREY S WALLACE (M.D.)?
Directory geography for DR. JEFFREY S WALLACE (M.D.) centers on Rockwall, Texas.
Does DR. JEFFREY S WALLACE (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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