MICHAEL C WALLACE MD NPI 1932192556

NPI Information

  • NPI: 1932192556
  • Provider Name: MICHAEL C WALLACE, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7685 WINCHESTER RD
    MEMPHIS, TN
    ZIP 38125
  • Phone: (901) 752-6963

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NPI Details

Michael C Wallace, MD is a family medicine in Memphis, TN with 32 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Michael C Wallace, MD NPI is 1932192556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:1994

The provider's business location address is:

7685 WINCHESTER RD
MEMPHIS, TN
ZIP 38125-202
Phone: (901) 752-6963
Fax: (901) 751-5540

The NPI 1932192556 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Hemoglobin a1c level (HCPCS:83036)
  • Vitamin d-3 level (HCPCS:82306)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Iron level (HCPCS:83540)
  • Iron binding capacity (HCPCS:83550)
  • Urinalysis, manual test (HCPCS:81002)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Uric acid level, blood (HCPCS:84550)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Magnesium level (HCPCS:83735)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Phosphate level (HCPCS:84100)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b (HCPCS:87636)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Folic acid level, serum (HCPCS:82746)
  • Inhalation treatment for airway obstruction or sputum production (HCPCS:94640)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Photography of the retina (HCPCS:92250)

The enumeration date for this NPI number is 8/30/2005 and was last updated on 10/25/2016.

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
1207Q00000XFamily MedicineMD36875TENNESSEEYes

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
14065344OTHERTENNESSEEBCBS, TN
27128500OTHERTENNESSEEAETNA
3H85485MEDICARE UPIN
43886025MEDICARE PINTENNESSEE
51474033OTHERTENNESSEECIGNA
6P00023565MEDICARE PINTENNESSEE

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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