TIMOTHY J WALLACE (MD) – Radiation Oncology Physician, NPI 1033328703

TIMOTHY J WALLACE (MD) is a healthcare provider. based in Richmond, Virginia. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. 0101242596 (VA). The NPI Number for TIMOTHY J WALLACE (MD) is 1033328703

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY J WALLACE (MD)
NPI
1033328703
Phone
(804) 358-6100
Address
PO BOX 91734
Enumeration Date
21 May 2007
Last Update Date
26 March 2019

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
8048287929
Graduation Year
2003 (23 years ago)
PAC ID
9032283536
Group Practice PAC ID
4385542117
Professional Enrollment ID
I20080731000805
Address ID
VA232985004RI1001XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

136 RADIATION ONCOLOGY in VA

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Provider Addresses for TIMOTHY J WALLACE (MD)

  • Richmond Drive, Middletown, New Castle County, Delaware, United States

    RICHMOND, VA 232911734

    Phone: (804) 358-6100

    Fax: (804) 342-7619

    Type: Mailing

  • Massey Cancer Center, 401, College Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23298, United States

    RICHMOND, VA 232985017

    Phone: (804) 828-7232

    Fax: (804) 828-6042

    Type: Location

  • 8222 Meadowbridge Rd

    Mechanicsville, VA 231162331

    Phone: (804) 559-1835

    Fax: (804) 559-1855

    Type: Location

  • 1250 E Marshall St

    Richmond, VA 232985051

    Phone: (804) 828-7232

    Fax: (804) 828-6042

    Type: Location

  • 9000 Stony Point Pkwy

    Richmond, VA 232351900

    Phone: (804) 327-3040

    Fax: (804) 327-3068

    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: 2008-07-31

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
I20080731000805IRadiation OncologyVATBD

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
77014Ct guidance for insertion of radiation therapy fields65642$0
77427Radiation treatment management, 5 treatment sessions25868$0
77300Calculation of radiation therapy dose23570$0
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy21715$0
99213Established patient office or other outpatient visit, 20-29 minutes158121$0
View full utilization report →

Insurance plans in this area (ZIP 23291)

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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: 4385542117View full group profile
NameSpecialtyState
Internal MedicineVA
-VA
Nurse PractitionerVA
Orthopedic SurgeryVA
O T O L A R Y N G O L O G YVA
Diagnostic RadiologyVA
Nurse PractitionerVA
Qualified AudiologistVA
O T O L A R Y N G O L O G YVA
Diagnostic RadiologyVA

Reviews

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Frequently asked questions

Can I use this page to confirm TIMOTHY J WALLACE (MD)'s NPI?
Yes. TIMOTHY J WALLACE (MD) is listed with NPI 1033328703 in the public NPI dataset.
Can I rely on TIMOTHY J WALLACE (MD) being an active provider?
As of the registry snapshot, TIMOTHY J WALLACE (MD) is marked active.
What is TIMOTHY J WALLACE (MD) best known for clinically?
Directory data describes TIMOTHY J WALLACE (MD) with Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is TIMOTHY J WALLACE (MD) based?
TIMOTHY J WALLACE (MD) is tied to Richmond, Virginia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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