JACOB WALLACE M.D. NPI 1871974527

NPI Details

Jacob Wallace, M.D. is a diagnostic radiology radiology in Salina, KS with 11 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jacob Wallace, M.D. NPI is 1871974527. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:2015

The provider's business location address is:

119 W IRON AVE FL 5
SALINA, KS
ZIP 67401-600
Phone: (785) 827-9526
Fax: (785) 827-2854

The NPI 1871974527 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.

• 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)
• Screening mammography (HCPCS:77067)
• Screening mammography (HCPCS:77067)
• Screening 3d breast mammography (HCPCS:77063)
• Screening 3d breast mammography (HCPCS:77063)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• X-ray of chest, 2 views (HCPCS:71046)
• X-ray of hip, 2-3 views (HCPCS:73502)
• Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
• Ct scan of upper spine without contrast (HCPCS:72125)
• Ct scan of blood vessels of chest with contrast (HCPCS:71275)
• Ct scan of chest with contrast (HCPCS:71260)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• X-ray of knee, 3 views (HCPCS:73562)
• Ct scan of chest without contrast (HCPCS:71250)
• Mri scan of brain before and after contrast (HCPCS:70553)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• X-ray of abdomen, 1 view (HCPCS:74018)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• Mri scan of brain without contrast (HCPCS:70551)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• X-ray of abdomen, 2 views (HCPCS:74019)
• Ct scan of leg without contrast (HCPCS:73700)
• X-ray of thigh bone, minimum 2 views (HCPCS:73552)
• X-ray of knee, 1-2 views (HCPCS:73560)
• X-ray of wrist, minimum of 3 views (HCPCS:73110)
• X-ray of pelvis, 1-2 views (HCPCS:72170)
• X-ray of knee, 3 views (HCPCS:73562)
• Ct scan of lower spine without contrast (HCPCS:72131)
• 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)
• Limited ultrasound scan of abdomen (HCPCS:76705)
• Ultrasound study of arm and leg arteries (HCPCS:93922)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• Limited ultrasound scan of 1 breast (HCPCS:76642)
• Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
• Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• Ct scan of chest without contrast (HCPCS:71250)
• X-ray of hip, 2-3 views (HCPCS:73502)
• X-ray of knee, 4 or more views (HCPCS:73564)
• Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
• Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of elbow, minimum of 3 views (HCPCS:73080)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• Ultrasound of leg arteries or artery grafts (HCPCS:93925)
• Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
• Mri scan of brain without contrast (HCPCS:70551)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• Diagnostic mammography of 1 breast (HCPCS:77065)
• X-ray series of abdomen with single x-ray of chest (HCPCS:74022)
• Mri scan of leg joint without contrast (HCPCS:73721)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
• 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)
• Limited ultrasound scan of 1 breast (HCPCS:76642)
• Ct scan of soft tissue of neck with contrast (HCPCS:70491)
• Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
• Mri scan of arm joint without contrast (HCPCS:73221)
• Diagnostic mammography of 1 breast (HCPCS:77065)
• Imaging for evaluation of swallowing function (HCPCS:74230)
• Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• Ct scan of chest with contrast (HCPCS:71260)
• X-ray of upper spine, 2-3 views (HCPCS:72040)
• Mri scan of arm joint without contrast (HCPCS:73221)
• X-ray of upper arm, minimum of 2 views (HCPCS:73060)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
• Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• Diagnostic mammography of both breasts (HCPCS:77066)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• Limited ultrasound scan of abdomen (HCPCS:76705)
• X-ray of lower leg, 2 views (HCPCS:73590)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• Ct scan head or brain without contrast (HCPCS:70450)
• Ct scan of middle spine without contrast (HCPCS:72128)
• Ct scan of pelvis without contrast (HCPCS:72192)
• Complete ultrasound scan of abdomen (HCPCS:76700)
• Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
• Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
• Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
• X-ray of both hips, 2 views (HCPCS:73521)
• Mri scan of leg joint without contrast (HCPCS:73721)
• Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
• X-ray of wrist, minimum of 3 views (HCPCS:73110)
• Mri scan of middle spinal canal without contrast (HCPCS:72146)
• Diagnostic mammography of both breasts (HCPCS:77066)
• Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
• X-ray of forearm, 2 views (HCPCS:73090)
• X-ray of finger, minimum of 2 views (HCPCS:73140)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
• Mri scan of brain before and after contrast (HCPCS:70553)
• Ct scan of arm without contrast (HCPCS:73200)
• X-ray of abdomen, 2 views (HCPCS:74019)
• Ultrasound study of arm and leg arteries (HCPCS:93922)
• Limited or follow-up ct scan (HCPCS:76380)
• Ultrasonic guidance for needle placement (HCPCS:76942)

The enumeration date for this NPI number is 6/17/2015 and was last updated on 3/10/2025.

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: