DR. WALLACE M ANDERSON MD NPI 1578510913

NPI Information

  • NPI: 1578510913
  • Provider Name: DR. WALLACE M ANDERSON, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 800 E CARPENTER ST
    SPRINGFIELD, IL
    ZIP 62769
  • Phone: (217) 544-6464

Map and Directions

Get Directions

NPI Details

DR. Wallace M Anderson, MD is a diagnostic radiology radiology in Springfield, IL with 39 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Wallace M Anderson, MD NPI is 1578510913. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 E CARPENTER ST
SPRINGFIELD, IL
ZIP 62769-360
Phone: (217) 544-6464

The NPI 1578510913 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.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Limited ultrasound scan of pelvis (HCPCS:76857)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93976)
  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)

The enumeration date for this NPI number is 5/30/2006 and was last updated on 1/30/2024.

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
12085R0202XRadiologyDiagnostic Radiology36082306ILLINOISYes

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
10360823063MEDICAIDILLINOIS
21333997OTHERTENNESSEEBCBS OF TN

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.