Active NPI 1295736809 Individual Practitioner Male Practitioner

Dr. David B. Wallace , MD

Radiology - Diagnostic Radiology • Aurora, IL

Professional Overview & Biography Verified Profile Summary

Dr. David Wallace, MD is a registered healthcare professional specializing in Radiology - Diagnostic Radiology in Aurora, IL. Practice services are available at 325 N HIGHLAND AVE under active NPI credentials.

Frequently performed procedures and clinical services include x-ray of chest, 1 view, ct scan head or brain without contrast, x-ray of chest, 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

325 N Highland Ave
Provena Mercy Medical Center

Aurora, IL 605063811

Telephone 6308592222

Associated Practice Facility / Clinic

🏢 Aurora Radiology Consultants, S.c. Facility NPI 1053310417

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Aurora, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.3 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

28 Specialists

Practicing in Aurora, IL (1956 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.3% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	38	38	$45.00	$9.12
70450 Ct scan head or brain without contrast	18	18	$229.00	$41.31
71046 X-ray of chest, 2 views	12	12	$54.00	$10.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	63	60	$45.00	$9.14
70450 Ct scan head or brain without contrast	23	22	$229.00	$41.50
71046 X-ray of chest, 2 views	15	15	$54.00	$10.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71010 X-ray of chest, 1 view, front	165	153	$42.00	$9.29
71020 X-ray of chest, 2 views, front and side	74	71	$51.00	$11.05
70450 Ct scan head or brain without contrast	54	54	$229.00	$42.49
74177 Ct scan of abdomen and pelvis with contrast	29	29	$590.00	$92.43
71020 X-ray of chest, 2 views, front and side	22	21	$43.23	$11.34
74000 X-ray of abdomen, single view	19	19	$45.00	$9.31
77080 Dxa bone density measurement of hip, pelvis, spine	16	16	$53.00	$10.64
74176 Ct scan of abdomen and pelvis without contrast	15	15	$524.00	$90.59
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	15	15	$99.40	$36.91
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	14	14	$84.29	$36.07
73502 X-ray of hip, 2-3 views	13	13	$35.00	$11.77
73502 X-ray of hip, 2-3 views	12	12	$39.00	$11.38
77063 Screening digital tomography of both breasts	11	11	$130.00	$31.56
72125 Ct scan of upper spine without contrast	11	11	$273.00	$50.52
77080 Dxa bone density measurement of hip, pelvis, spine	11	11	$77.00	$10.04

Medical Specialties & State Licenses

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License IL 036050183

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Practice Associates & Co-Workers

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

40 Associated Practitioners

John Fitzgerald , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023066123

Certified Registered Nurse Anesthetist

Dr. Stanley Okon , MD

Psychiatry & Neurology - Psychiatry

NPI 1023243334

Doctor of Medicine (M.D.)

Olamidoyin Olufade , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023944030

Advanced Practice Registered Nurse

Dr. Vi Dang , MD

Anesthesiology

NPI 1114975216

Doctor of Medicine (M.D.)

Patricia Colledge , APN-CFNP

Nurse Practitioner

NPI 1144229816

APNCFNP

Amy Maritote , PA

Physician Assistant

NPI 1144452327

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 13, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 13, 2008

Registered at 325 N HIGHLAND AVE, PROVENA MERCY MEDICAL CENTER, AURORA, IL 605063811 (Tel: 6308592222)

📍

Updated Business Mailing Address May 13, 2008

Registered at 520 E 22ND ST, LOMBARD, IL 601486110 (Tel: 6308742542)

👤

Provider Name / Credentials Updated May 13, 2008

Recorded as DAVID WALLACE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2008

Radiology (License #036050183 in IL)

🟢

Initial NPI Registration & Enumeration August 04, 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: 1295736809

Entity Type:

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

Enumeration Date: August 04, 2005

Last Update: May 13, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

520 E 22nd St

Lombard, IL 601486110

Phone: 6308742542

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.