Active NPI 1487651386 Individual Practitioner Male Practitioner

Dr. Wallace Ford Martin , MD

Surgery • Lawrenceville, GA

Professional Overview & Biography Verified Profile Summary

Dr. Wallace Martin, MD is a registered healthcare professional specializing in Surgery in Lawrenceville, GA. Practice services are available at 631 PROFESSIONAL DRIVE under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

631 Professional Drive
Suite 300

Lawrenceville, GA 300463371

Telephone 7709629977

Fax 7703399804

Associated Practice Facility / Clinic

🏢 Suburban Hematology Oncology Associates, Pc Facility NPI 1508926759

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lawrenceville, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.7 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

10 Specialists

Practicing in Lawrenceville, GA (1046 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$328.00	$113.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$317.00	$108.68
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$213.00	$75.87
49650 Repair of groin hernia using an endoscope	12	12	$1380.17	$447.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$185.82	$108.27
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$105.00	$72.96
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	20	20	$3046.30	$726.99
49650 Repair of groin hernia using an endoscope	19	19	$1787.00	$446.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$190.00	$165.55
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$83.06	$71.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$147.19	$108.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$115.00	$107.98
49650 Repair of groin hernia using an endoscope	18	18	$2213.33	$504.59
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$3523.00	$739.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$193.69	$161.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	52	$128.50	$104.79
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$78.00	$72.94
19301 Partial removal of breast	19	14	$1728.00	$601.82
49650 Repair of groin hernia using an endoscope	14	14	$2134.29	$469.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$130.00	$108.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$58.00	$43.66
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$3523.00	$712.50

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 026153

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00301914A (GA)

Commercial Insurance / Payer ID Medicare Group Number

GRP1797 (GA)

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Suraj Menachery , MD

Surgery

NPI 1174583470

Doctor of Medicine (M.D.)

Kimberly Holland

Registered Nurse - Registered Nurse First Assistant

NPI 1275031585

Gospel Ofuyah , CNP

Nurse Practitioner - Acute Care

NPI 1356069769

Certified Nurse Practitioner

Dr. Venkata Kakarla , MD

Surgery

NPI 1437390150

Doctor of Medicine (M.D.)

Dr. Sudhindra Anegundi , MD

Surgery - Vascular Surgery

NPI 1629039052

Doctor of Medicine (M.D.)

Dr. James Elsey , MD

Surgery - Vascular Surgery

NPI 1932107349

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 01, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 01, 2010

Registered at 631 PROFESSIONAL DRIVE, SUITE 300, LAWRENCEVILLE, GA 300463371 (Tel: 7709629977)

📍

Updated Business Mailing Address September 01, 2010

Registered at 631 PROFESSIONAL DRIVE, SUITE 300, LAWRENCEVILLE, GA 300463371 (Tel: 7709629977)

👤

Provider Name / Credentials Updated September 01, 2010

Recorded as WALLACE MARTIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2010

Surgery (License #026153 in GA)

🟢

Initial NPI Registration & Enumeration July 07, 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: 1487651386

Entity Type:

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

Enumeration Date: July 07, 2005

Last Update: September 01, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

631 Professional Drive, Suite 300

Lawrenceville, GA 300463371

Phone: 7709629977

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.