Active NPI 1548262108 Individual Practitioner Male Practitioner

Dr. Jeffrey Leigh Wallace , MD

Surgery • Fairhope, AL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Wallace, MD is a certified Surgery practicing in Fairhope, AL. With approximately 50 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 1976, Dr. Wallace delivers high-quality medical care to the local community at 411 N SECTION ST.

Dr. Wallace is affiliated with Vohra Wound Physicians Of Fl Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, removal of skin and tissue, 20.0 sq cm or less, removal of muscle and/or tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

411 N Section St

Fairhope, AL 365322649

Telephone 2519289090

Fax 2519900520

Associated Practice Facility / Clinic

🏢 Bay Eyes Spectacular, Inc Facility NPI 1114046026

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fairhope, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +17.0 yrs vs City Avg

City Avg: 33.0 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

6 Specialists

Practicing in Fairhope, AL (471 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (50 Years) 50 Yrs

Fairhope Specialty Average (33.0 Years) 33.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	394	89	$174.94	$70.21
11042 Removal of skin and tissue, 20.0 sq cm or less	380	104	$336.90	$105.21
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	333	69	$574.74	$210.98
17250 Application of chemical to stop tissue regrowth in wound	212	41	$230.66	$63.79
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	175	37	$176.78	$72.98
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	151	54	$574.74	$138.83
11042 Removal of skin and tissue, 20.0 sq cm or less	149	64	$336.90	$48.70
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	141	61	$174.94	$70.22
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	95	14	$389.60	$126.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	78	35	$252.10	$101.54
11044 Removal of bone, 20.0 sq cm or less	46	15	$750.90	$287.27
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	43	22	$357.52	$145.05
97597 Removal of tissue from wound, 20.0 sq cm or less	43	16	$264.42	$92.13
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	36	22	$94.54	$38.03
99306 Initial nursing facility visit, typically 45 minutes per day	33	32	$419.38	$172.74
17250 Application of chemical to stop tissue regrowth in wound	33	13	$230.66	$28.24
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	32	20	$252.10	$101.92
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	26	26	$308.50	$126.31
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	24	17	$357.52	$145.47
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	19	16	$94.54	$38.05
11044 Removal of bone, 20.0 sq cm or less	18	11	$750.90	$209.99
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	16	16	$185.40	$75.61
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	16	16	$185.40	$76.10
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$308.50	$125.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	512	140	$176.97	$70.56
11042 Removal of skin and tissue, 20.0 sq cm or less	509	120	$340.36	$106.05
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	415	97	$582.22	$214.80
17250 Application of chemical to stop tissue regrowth in wound	190	46	$236.03	$62.01
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	185	61	$253.48	$101.36
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	154	43	$178.66	$72.96
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	130	72	$177.03	$70.56
11042 Removal of skin and tissue, 20.0 sq cm or less	107	59	$340.40	$49.85
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	106	45	$582.36	$143.07
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	57	34	$362.41	$145.86
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	56	19	$298.63	$121.78
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	55	17	$181.46	$68.15
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	51	33	$253.46	$101.36
17250 Application of chemical to stop tissue regrowth in wound	37	19	$235.96	$30.12
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	34	34	$313.42	$127.06
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	34	34	$189.34	$76.70
99306 Initial nursing facility visit, typically 45 minutes per day	30	30	$427.62	$173.98
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	30	23	$362.29	$145.86
11044 Removal of bone, 20.0 sq cm or less	30	15	$765.54	$290.28
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	27	11	$435.28	$177.83
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	27	27	$189.31	$76.68
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	19	19	$313.02	$127.05
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	14	13	$94.72	$37.62
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	13	13	$180.36	$75.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	426	119	$339.66	$108.92
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	377	121	$164.76	$65.97
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	325	82	$600.90	$220.92
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	203	43	$141.20	$58.21
17250 Application of chemical to stop tissue regrowth in wound	180	59	$239.76	$72.99
11042 Removal of skin and tissue, 20.0 sq cm or less	139	74	$339.66	$52.72
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	125	72	$164.76	$65.95
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	124	57	$215.06	$86.89
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	112	45	$600.90	$148.53
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	66	21	$193.60	$71.54
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	61	33	$318.44	$128.59
11044 Removal of bone, 20.0 sq cm or less	58	26	$799.78	$300.99
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	55	37	$215.06	$86.94
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	49	49	$211.56	$85.87
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	47	47	$304.74	$123.90
99335 Established patient assisted living visit, typically 25 minutes	41	21	$224.16	$91.50
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	34	13	$106.70	$25.78
99306 Initial nursing facility visit, typically 45 minutes per day	32	31	$392.04	$159.08
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	29	13	$193.60	$54.57
99325 New patient assisted living visit, typically 30 minutes	28	28	$185.28	$76.51
17250 Application of chemical to stop tissue regrowth in wound	27	22	$239.76	$28.62
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	24	24	$211.56	$85.82
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	21	14	$318.44	$128.31
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	14	14	$304.74	$123.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	631	127	$164.91	$66.66
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	365	68	$601.64	$225.90
11042 Removal of skin and tissue, 20.0 sq cm or less	324	94	$339.86	$110.35
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	177	21	$193.60	$72.23
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	173	74	$164.76	$66.67
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	148	20	$141.20	$58.12
17250 Application of chemical to stop tissue regrowth in wound	124	44	$239.76	$71.78
11042 Removal of skin and tissue, 20.0 sq cm or less	109	57	$339.66	$51.36
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	85	34	$600.90	$151.75
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	77	51	$215.54	$87.92
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	42	42	$211.56	$87.06
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	40	13	$106.70	$39.96
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	38	38	$304.74	$125.59
11044 Removal of bone, 20.0 sq cm or less	38	15	$799.78	$303.68
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	33	33	$211.56	$86.98
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	30	19	$318.44	$130.58
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	29	13	$106.70	$26.19
99306 Initial nursing facility visit, typically 45 minutes per day	25	24	$392.04	$161.64
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	16	$215.06	$87.94
17250 Application of chemical to stop tissue regrowth in wound	20	14	$239.76	$28.19
99325 New patient assisted living visit, typically 30 minutes	17	17	$185.28	$77.17
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	15	14	$318.44	$130.60
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	13	$304.74	$125.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	502	126	$164.28	$67.08
11042 Removal of skin and tissue, 20.0 sq cm or less	248	96	$336.44	$55.32
11042 Removal of skin and tissue, 20.0 sq cm or less	244	75	$324.04	$105.03
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	230	76	$164.40	$67.22
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	172	37	$586.34	$218.22
17250 Application of chemical to stop tissue regrowth in wound	146	39	$222.74	$68.54
99213 Established patient office or other outpatient visit, typically 15 minutes	139	35	$235.49	$49.59
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	126	60	$216.34	$88.45
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	94	42	$602.76	$151.58
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	71	22	$112.29	$26.23
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	66	17	$200.90	$54.95
17250 Application of chemical to stop tissue regrowth in wound	63	32	$230.96	$31.29
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	56	56	$213.86	$88.15
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	32	32	$304.10	$126.36
99306 Initial nursing facility visit, typically 45 minutes per day	31	31	$393.52	$163.22
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	28	21	$104.31	$42.75
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	24	24	$214.27	$88.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	11	$347.86	$76.35
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	21	18	$317.92	$131.52
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	18	17	$216.92	$88.75
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	17	17	$305.04	$126.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	593	159	$161.10	$65.58
11042 Removal of skin and tissue, 20.0 sq cm or less	301	132	$331.09	$55.41
11042 Removal of skin and tissue, 20.0 sq cm or less	267	89	$309.60	$108.63
99213 Established patient office or other outpatient visit, typically 15 minutes	248	69	$235.49	$48.28
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	248	104	$161.10	$65.58
17250 Application of chemical to stop tissue regrowth in wound	177	47	$210.80	$67.55
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	154	45	$565.36	$214.10
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	120	43	$580.15	$146.80
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	113	69	$213.92	$87.19
17250 Application of chemical to stop tissue regrowth in wound	67	39	$223.44	$31.85
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	66	21	$113.63	$25.02
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	59	59	$210.16	$86.11
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	50	37	$213.92	$87.19
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	47	15	$181.74	$68.43
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	41	41	$210.16	$86.11
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	40	19	$102.04	$38.62
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	33	33	$302.98	$124.55
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	31	28	$102.68	$42.00
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	31	31	$302.98	$124.57
99306 Initial nursing facility visit, typically 45 minutes per day	30	30	$386.50	$159.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	16	$347.86	$74.51
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	21	20	$315.96	$129.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$138.86	$24.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$346.29	$71.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$531.09	$121.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	661	188	$162.88	$65.19
11042 Removal of skin and tissue, 20.0 sq cm or less	391	144	$318.97	$55.07
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	378	144	$162.88	$64.99
11042 Removal of skin and tissue, 20.0 sq cm or less	352	134	$298.52	$100.04
99213 Established patient office or other outpatient visit, typically 15 minutes	209	49	$235.49	$47.12
17250 Application of chemical to stop tissue regrowth in wound	205	73	$208.62	$67.83
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	164	69	$569.73	$145.35
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	164	64	$560.62	$211.02
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	143	93	$214.60	$86.16
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	96	66	$104.52	$41.98
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	88	27	$108.41	$24.57
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	77	77	$212.72	$86.15
17250 Application of chemical to stop tissue regrowth in wound	72	40	$219.55	$32.72
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	60	60	$303.72	$123.35
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	56	13	$181.54	$52.55
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	54	46	$214.60	$86.12
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	50	50	$212.72	$86.15
99306 Initial nursing facility visit, typically 45 minutes per day	39	38	$387.80	$157.82
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	35	25	$104.52	$41.90
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	25	19	$318.34	$128.28
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	22	12	$101.95	$38.02
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	21	21	$303.72	$123.47
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	18	15	$318.34	$128.18
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	14	11	$181.54	$67.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$346.29	$69.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$138.86	$23.29
99306 Initial nursing facility visit, typically 45 minutes per day	11	11	$387.80	$158.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	598	181	$151.57	$62.76
11042 Removal of skin and tissue, 20.0 sq cm or less	388	133	$275.99	$95.67
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	315	138	$99.60	$40.63
11042 Removal of skin and tissue, 20.0 sq cm or less	298	141	$306.68	$51.53
99213 Established patient office or other outpatient visit, typically 15 minutes	258	69	$235.49	$46.48
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	253	82	$520.49	$202.60
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	234	101	$153.38	$62.74
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	180	73	$568.55	$141.76
17250 Application of chemical to stop tissue regrowth in wound	167	43	$193.10	$66.23
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	126	126	$201.90	$83.40
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	104	68	$201.20	$83.20
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	98	62	$102.30	$40.62
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	73	73	$191.58	$83.37
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	72	24	$177.95	$51.04
17250 Application of chemical to stop tissue regrowth in wound	63	25	$211.89	$30.09
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	58	15	$174.18	$65.33
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	54	26	$103.42	$23.85
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	40	30	$213.90	$83.12
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	34	18	$93.98	$36.32
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	33	33	$280.49	$119.00
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	30	19	$444.72	$77.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	14	$347.86	$71.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	13	$138.86	$23.15
99306 Initial nursing facility visit, typically 45 minutes per day	20	20	$349.46	$152.53
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	19	19	$287.13	$119.00
11044 Removal of bone, 20.0 sq cm or less	18	13	$731.96	$279.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$346.29	$69.33
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	14	11	$316.78	$123.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$531.09	$118.43

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AL 29105

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Preventive Medicine - Undersea and Hyperbaric Medicine

NUCC Taxonomy Code: 2083P0011X

State License AL 29105

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License AL MD29105

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1407812001 (AL)

Medicaid State Provider ID

1548262108 (AL)

Medicaid State Provider ID

3-187746 (TN)

Hospital & Practice Group Affiliations

Vohra Wound Physicians Of Fl Llc

445 Dexter Ave, Montgomery, AL 361043867

Phone: 9543994673

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Charles Smith , MD

Preventive Medicine - Undersea and Hyperbaric Medicine

NPI 1699750398

Doctor of Medicine (M.D.)

William Staggers

Plastic Surgery

NPI 1952393951

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 10, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2016

Registered at 411 N SECTION ST, FAIRHOPE, AL 365322649 (Tel: 2519289090)

📍

Updated Business Mailing Address October 10, 2016

Registered at 104 PINETOP CIRCLE, FAIRHOPE, AL 36532 (Tel: 2517252050)

👤

Provider Name / Credentials Updated October 10, 2016

Recorded as JEFFREY WALLACE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2016

Preventive Medicine (License #29105 in AL)

🟢

Initial NPI Registration & Enumeration August 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548262108

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 12, 2005

Last Update: October 10, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

104 Pinetop Circle

Fairhope, AL 36532

Phone: 2517252050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.