DR. MATTHEW MALONE WALLACE (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1255867784
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
471 DERMATOLOGY in VA
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Provider Addresses for DR. MATTHEW MALONE WALLACE (M.D.)
Box, Blayds Yard, Holbeck Urban Village, Leeds, West Yorkshire, Yorkshire and the Humber, England, LS1 4AF, United Kingdom
1250 E MARSHALL ST
RICHMOND, VA 23298
Phone:
Type: Mailing
VCU Medical Center, 1250, East Marshall Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23219, United States
RICHMOND, VA 23298
Phone: (804) 828-9726
Type: Location
3829 GASKINS RD STE A
RICHMOND, VA 232331437
Phone:
Type: Mailing
9816 MAYLAND DR STE 100
RICHMOND, VA 232331457
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $3,422.
Total Amount is formed as General ($3,422) + Research ($0) + Ownership ($0) = $3,422.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: SweetBio, Inc. ($2,000).
Total Amount
$3,422
General + Research + Ownership
Payments
60
Total payment records
General Amount
$3,422
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SweetBio, Inc. | $2,000 |
| ABBVIE INC. | $292 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $201 |
| Incyte Corporation | $99 |
| LEO Pharma Inc. | $83 |
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: 2022-06-02
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 |
|---|---|---|---|---|
| I20220602000819 | I | Micrographic Dermatologic Surgery (Mds) | VA | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 611 | 471 | $0 |
| Q4180 | Revita, per square centimeter | 596 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 401 | 341 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 332 | 228 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 242 | 66 | $0 |
Insurance plans in this area (ZIP 23298)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| D E R M A T O L O G Y | VA | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | VA | |
| - | VA | |
| Physician Assistant | VA | |
| D E R M A T O L O G Y | VA | |
| D E R M A T O L O G Y | VA |
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