JASON R. WALLACE M.D. NPI 1013028612

NPI Details

Jason R. Wallace, M.D. is a diagnostic radiology radiology in Austin, TX with 24 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jason R. Wallace, M.D. NPI is 1013028612. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:2001

The provider's business location address is:

12554 RIATA VISTA CIRCLE
AUSTIN, TX
ZIP 78727-432
Phone: (512) 795-5100
Fax: (512) 795-5122

The NPI 1013028612 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
• X-ray of chest, 1 view (HCPCS:71045)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• Ct scan of chest with contrast (HCPCS:71260)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
• X-ray of chest, 2 views (HCPCS:71046)
• Screening mammography (HCPCS:77067)
• X-ray of chest, 2 views (HCPCS:71046)
• Screening mammography (HCPCS:77067)
• Screening 3d breast mammography (HCPCS:77063)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• X-ray of abdomen, 1 view (HCPCS:74018)
• Ct scan of chest without contrast (HCPCS:71250)
• Screening 3d breast mammography (HCPCS:77063)
• Ct scan of chest without contrast (HCPCS:71250)
• Insertion of needle into vein for collection of blood sample (HCPCS:36415)
• Ct scan of blood vessels of chest with contrast (HCPCS:71275)
• X-ray of knee, 3 views (HCPCS:73562)
• Ct scan of chest with contrast (HCPCS:71260)
• Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
• Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
• Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• X-ray of hip, 2-3 views (HCPCS:73502)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
• Limited ultrasound scan of abdomen (HCPCS:76705)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• X-ray of wrist, minimum of 3 views (HCPCS:73110)
• Limited ultrasound scan of 1 breast (HCPCS:76642)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• X-ray of knee, 1-2 views (HCPCS:73560)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
• Complete ultrasound scan of abdomen (HCPCS:76700)
• X-ray of pelvis, 1-2 views (HCPCS:72170)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• X-ray of abdomen, 1 view (HCPCS:74018)
• Diagnostic mammography of both breasts (HCPCS:77066)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Complete ultrasound scan of abdomen (HCPCS:76700)
• Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
• Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
• Diagnostic mammography of 1 breast (HCPCS:77065)
• Limited ultrasound scan of abdomen (HCPCS:76705)
• Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
• Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• Ct scan of middle spine without contrast (HCPCS:72128)
• Review by radiologist of ct guidance for needle placement (HCPCS:77012)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
• Ct scan of lower spine without contrast (HCPCS:72131)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• X-ray of knee, 3 views (HCPCS:73562)
• X-ray of lower leg, 2 views (HCPCS:73590)
• X-ray of abdomen, 2 views (HCPCS:74019)
• X-ray of upper arm, minimum of 2 views (HCPCS:73060)
• X-ray of upper spine, 2-3 views (HCPCS:72040)
• X-ray of elbow, minimum of 3 views (HCPCS:73080)
• X-ray of hip, 2-3 views (HCPCS:73502)
• Ultrasound scan of scrotum (HCPCS:76870)
• Ultrasound of one side of head and neck blood flow (HCPCS:93882)
• Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
• Blood creatinine level (HCPCS:82565)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 2/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: