DR. AARON JACK WALLACE MD NPI 1275701963

NPI Information

  • NPI: 1275701963
  • Provider Name: DR. AARON JACK WALLACE, MD
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4802 E JOHNSON AVE
    JONESBORO, AR
    ZIP 72401
  • Phone: (870) 936-8523

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NPI Details

DR. Aaron Jack Wallace, MD is an orthopaedic surgery in Jonesboro, AR with 23 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Aaron Jack Wallace, MD NPI is 1275701963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2003

The provider's business location address is:

4802 E JOHNSON AVE
JONESBORO, AR
ZIP 72401-007
Phone: (870) 936-8523
Fax: (870) 934-3633

The NPI 1275701963 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.

  • Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg (HCPCS:J3304)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of knee, 3 views (HCPCS:73562)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Injection into tendon or ligament (HCPCS:20550)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Treatment of broken neck of thigh bone with bone implant (HCPCS:27245)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (HCPCS:27236)
  • Hip replacement (HCPCS:NAN09)
  • Knee replacement (HCPCS:NAN06)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 2/14/2008 and was last updated on 1/27/2014.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryMD428274PENNSYLVANIANo
2207X00000XOrthopaedic SurgeryE-6150ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1179031001MEDICAIDARKANSAS
25H956MEDICARE PINARKANSAS
35H582OTHERARKANSASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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