STEPHEN J WALLACE (MD) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1396162673
Orthopaedic Foot and Ankle Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
779 ORTHOPEDIC SURGERY in WA
Provider Addresses for STEPHEN J WALLACE (MD)
325 9th Ave
Seattle, WA 98104
Phone: (206) 520-5000
Type: Location
2160 S 1st Ave
Maywood, IL 601533328
Phone: (708) 216-3280
Type: Location
535 E 70th St
New York, NY 100214823
Phone: (212) 606-1000
Type: Location
PO BOX 50095
SEATTLE, WA 981455095
Phone: (206) 520-5000
Type: Mailing
325 9TH AVE
SEATTLE, WA 98104
Phone: (206) 520-5000
Type: Location
4103 MERCANTILE DR
LAKE OSWEGO, OR 970352556
Phone: (503) 850-9940
Fax: (503) 850-6709
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 116 Open Payments records for all available years, with a total value of $91,831.
Total Amount is formed as General ($91,831) + Research ($0) + Ownership ($0) = $91,831.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($61,181).
Total Amount
$91,831
General + Research + Ownership
Payments
116
Total payment records
General Amount
$91,831
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $61,181 |
| Vertical Orthopaedics, Inc. | $24,458 |
| SI-BONE, INC. | $2,209 |
| NuVasive Specialized Orthopedics, Inc. | $1,029 |
| Globus Medical, Inc. | $884 |
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: 2021-11-22
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 |
|---|---|---|---|---|
| I20211122002255 | I | Orthopedic Surgery | OR | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 98104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Physician Assistant | WA | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Orthopedic Surgery | WA | |
| Physician Assistant | WI | |
| Physician Assistant | CA | |
| Hand Surgery, Orthopedic Surgery | OR | |
| Nurse Practitioner | WA | |
| Physician Assistant | OR |
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