DR. THOMAS WITHERSPOON WALLACE MD NPI 1295807733

NPI Information

  • NPI: 1295807733
  • Provider Name: DR. THOMAS WITHERSPOON WALLACE, MD
  • Classification: Internal Medicine - 207RC0001X
  • Specialization: Clinical Cardiac Electrophysiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10100 KANIS RD
    LITTLE ROCK, AR
    ZIP 72205
  • Phone: (501) 255-6000

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NPI Details

DR. Thomas Witherspoon Wallace, MD is a clinical cardiac electrophysiology internal medicine in Little Rock, AR with 24 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. DR. Thomas Witherspoon Wallace, MD NPI is 1295807733. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

10100 KANIS RD
LITTLE ROCK, AR
ZIP 72205-202
Phone: (501) 255-6000
Fax: (501) 255-6400

The NPI 1295807733 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.

  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days (HCPCS:93295)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Evaluation of cardiac rhythm monitor system, remote up to 30 days (HCPCS:93298)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Programming of heart rhythm stimulation after drug infusion (HCPCS:93623)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation (HCPCS:93656)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Insertion of catheters for recording and pacing of left lower heart chamber rhythm and induction of abnormal rhythm (HCPCS:93622)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS:33208)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Heart muscle strain imaging (HCPCS:93356)
  • Heart rhythm review and interpretation of continous external ekg over 8-15 days (HCPCS:93248)
  • Removal and replacement of dual lead permanent pacemaker (HCPCS:33228)
  • Destruction of tissue of upper heart chamber through tube to treat abnormal heart rhythm (HCPCS:93657)
  • Insertion of catheters and destruction of tissue to treat abnormal heart rhythm (HCPCS:93655)
  • Repair of left upper heart chamber with implant with review by radiologist (HCPCS:33340)
  • Programming of multiple lead implantable defibrillator system (HCPCS:93284)
  • Programming of dual lead implantable defibrillator system (HCPCS:93283)
  • Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days (HCPCS:93297)
  • Evaluation of implantable heart and blood vessel monitoring system (HCPCS:93290)
  • Insertion of left lower heart electrode for pacemaker or defibrillator (HCPCS:33225)
  • Ultrasound evaluation of heart blood vessel with review by radiologist (HCPCS:93662)
  • Insertion of implantable defibrillator system (HCPCS:33249)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Ultrasound of heart blood flow, valves and chambers, follow-up (HCPCS:93321)
  • Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days (HCPCS:93244)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of lower chamber of heart causing ventricular tachycardia (rapid heart rate) or ventricular ectopy (irregular heartbeat) (HCPCS:93654)
  • Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate) (HCPCS:93653)
  • Programming of single lead pacemaker system (HCPCS:93279)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Removal and replacement of multiple lead defibrillator (HCPCS:33264)
  • Programming of single, dual, or multiple lead or leadless pacemaker system before or after surgery (HCPCS:93286)
  • Insertion of heart rhythm monitor under skin (HCPCS:33285)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Removal of permanent pacemaker pulse generator (HCPCS:33233)
  • Removal of defibrillator electrodes through vein (HCPCS:33244)
  • Removal and replacement of multiple lead permanent pacemaker (HCPCS:33229)
  • Insertion of pacemaker and lower heart chamber electrode (HCPCS:33207)
  • Evaluation of cardiac rhythm monitor system (HCPCS:93291)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 11/13/2006 and was last updated on 6/21/2016.

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
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyE-6988ARKANSASYes

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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