DR. JAMES C WALLACE (MD) – Emergency Medicine Physician, NPI 1801864327

DR. JAMES C WALLACE (MD) is a healthcare provider. based in Port angeles, Washington. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD00028714 (WA). The NPI Number for DR. JAMES C WALLACE (MD) is 1801864327

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES C WALLACE (MD)
NPI
1801864327
Phone
(360) 417-7381
Address
939 Caroline St
Enumeration Date
10 March 2006
Last Update Date
30 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5097886022
Graduation Year
1989 (37 years ago)
PAC ID
9436166048
Group Practice PAC ID
6709787872
Professional Enrollment ID
I20060310000113
Address ID
WA993507832PR200XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,206 EMERGENCY MEDICINE in WA

Provider Addresses for DR. JAMES C WALLACE (MD)

  • 939 Caroline St

    Port Angeles, WA 983623909

    Phone: (360) 417-7381

    Type: Location

  • 834 SHERIDAN ST

    PORT TOWNSEND, WA 983682443

    Phone: (360) 385-2200

    Type: Mailing

  • Olympic Medical Center, 939, Caroline Street, Port Angeles, Clallam County, Washington, 98362, United States

    PORT ANGELES, WA 983623909

    Phone: (360) 417-7381

    Type: Mailing

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: 2006-03-10

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
I20060310000113IEmergency MedicineWATBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1716$0
View full utilization report →

Insurance plans in this area (ZIP 98362)

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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: 6709787872View full group profile
NameSpecialtyState
Diagnostic RadiologyAZ
Family PracticeWA
Emergency MedicineWA
Nurse PractitionerWA
Certified Nurse Midwife (Cnm)WA
Family PracticeWA
N E P H R O L O G YWA
Geriatric MedicineWA
Internal MedicineIN
Nurse PractitionerWA

Reviews

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Frequently asked questions

What is the registry number for DR. JAMES C WALLACE (MD)?
The registry entry for DR. JAMES C WALLACE (MD) shows NPI 1801864327.
Is DR. JAMES C WALLACE (MD)'s NPI status active today?
Active status means DR. JAMES C WALLACE (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. JAMES C WALLACE (MD)?
NPPES ties DR. JAMES C WALLACE (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JAMES C WALLACE (MD)?
The directory associates DR. JAMES C WALLACE (MD) with Port Angeles, Washington. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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