Active NPI 1538100128 Individual Practitioner Male Practitioner

Dr. Lance T Wallace , MD

Internal Medicine • Dyer, IN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Lance Wallace, MD is a certified Internal Medicine practicing in Dyer, IN. With approximately 36 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 1990, Dr. Wallace delivers high-quality medical care to the local community at 2150 GETTLER ST STE 400.

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

Frequently performed procedures and clinical services include established patient outpatient office visit, hemoglobin a1c level, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2150 Gettler St Ste 400

Dyer, IN 463112385

Telephone 2198644970

Fax 2198644990

Associated Practice Facility / Clinic

🏢 Specialty Physicians Of Illinois, Llc Facility NPI 1124075676

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dyer, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +4.0 yrs vs City Avg

City Avg: 32.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

8 Specialists

Practicing in Dyer, IN (2204 Statewide)

Telehealth Adoption Rate

62.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

45.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (36 Years) 36 Yrs

Dyer Specialty Average (32.0 Years) 32.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	519	177	$250.00	$131.75
83036 Hemoglobin A1C level	146	72	$24.00	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	117	117	$234.00	$133.20
99497 Advance care planning, first 30 minutes	65	65	$184.00	$84.42
99213 Established patient office or other outpatient visit, typically 15 minutes	62	56	$180.00	$93.06
G0008 Administration of influenza virus vaccine	57	55	$58.00	$33.70
90673 Influenza vaccine, trivalent derived from recombinant dna	53	53	$43.00	$42.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	32	$340.00	$184.14
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	15	15	$30.00	$16.91
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	13	12	$192.00	$109.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	450	179	$250.00	$134.78
83036 Hemoglobin A1C level	145	64	$24.00	$9.52
99213 Established patient office or other outpatient visit, typically 15 minutes	114	101	$180.00	$94.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	113	113	$220.41	$136.97
G0008 Administration of influenza virus vaccine	58	58	$56.53	$32.32
99497 Advance care planning, first 30 minutes	53	52	$184.00	$87.88
90662 Influenza vaccine split virus, preservative free	50	50	$123.00	$71.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	22	$340.00	$181.24
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$497.00	$282.52
G0009 Administration of pneumococcal vaccine	13	12	$54.46	$32.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	417	176	$250.00	$136.43
99213 Established patient office or other outpatient visit, typically 15 minutes	147	111	$180.00	$97.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	110	110	$202.00	$140.08
83036 Hemoglobin A1C level	109	58	$24.00	$9.58
G0008 Administration of influenza virus vaccine	85	83	$41.00	$31.05
90682 Influenza vaccine, quadrivalent derived from recombinant dna	82	81	$58.00	$56.87
99497 Advance care planning, first 30 minutes	39	39	$184.00	$90.68
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	17	$50.00	$24.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$340.00	$194.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$110.00	$56.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$360.00	$181.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	450	179	$199.30	$138.80
99213 Established patient office or other outpatient visit, typically 15 minutes	156	112	$142.27	$98.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	113	113	$202.00	$143.32
83036 Hemoglobin A1C level	108	60	$24.00	$9.71
G0008 Administration of influenza virus vaccine	85	85	$41.00	$17.94
90682 Influenza vaccine, quadrivalent derived from recombinant dna	76	76	$58.00	$58.00
99497 Advance care planning, first 30 minutes	39	38	$184.00	$92.14
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	19	$110.00	$57.07
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	22	12	$110.00	$44.52
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$40.00	$24.43
G0009 Administration of pneumococcal vaccine	12	12	$35.00	$17.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$310.00	$182.38
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	11	11	$250.00	$138.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	193	$189.00	$116.49
99213 Established patient office or other outpatient visit, typically 15 minutes	140	115	$126.00	$80.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	126	126	$202.00	$125.00
99497 Advance care planning, first 30 minutes	115	110	$184.00	$92.85
G0008 Administration of influenza virus vaccine	104	101	$41.00	$17.66
90682 Influenza vaccine, quadrivalent derived from recombinant dna	101	98	$58.00	$57.82
83036 Hemoglobin A1C level	94	60	$24.00	$9.63
99443 Telephone medical discussion with physician, 21-30 minutes	55	48	$142.64	$102.27
99442 Telephone medical discussion with physician, 11-20 minutes	37	35	$93.41	$70.46
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	36	11	$74.00	$45.11
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	19	$110.00	$57.48
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	18	17	$25.00	$15.44
G0009 Administration of pneumococcal vaccine	12	12	$35.00	$17.62
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$250.00	$139.17
99306 Initial nursing facility visit, typically 45 minutes per day	11	11	$292.00	$179.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	449	202	$189.00	$114.93
99497 Advance care planning, first 30 minutes	138	137	$184.00	$90.93
83036 Hemoglobin A1C level	125	63	$24.00	$10.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$202.00	$123.61
G0008 Administration of influenza virus vaccine	104	104	$41.00	$17.33
90682 Influenza vaccine, quadrivalent derived from recombinant dna	88	88	$58.00	$54.89
99213 Established patient office or other outpatient visit, typically 15 minutes	65	57	$126.00	$77.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	59	17	$183.00	$111.50
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	46	29	$159.00	$97.91
G0009 Administration of pneumococcal vaccine	41	41	$35.00	$17.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	40	29	$120.00	$73.57
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	39	39	$330.00	$182.59
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	38	15	$74.00	$44.19
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$120.00	$110.76
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	16	$110.00	$56.71
99306 Initial nursing facility visit, typically 45 minutes per day	19	19	$292.00	$176.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	15	$356.00	$217.20
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$35.00	$18.65
90670 Pneumococcal vaccine for injection into muscle	14	14	$390.00	$210.31
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$250.00	$138.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	578	220	$188.22	$113.20
G0008 Administration of influenza virus vaccine	125	123	$41.00	$21.31
90662 Influenza vaccine split virus, preservative free	117	116	$55.00	$52.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	113	113	$201.10	$122.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	102	31	$182.75	$110.65
83036 Hemoglobin A1C level	84	52	$24.00	$11.75
99213 Established patient office or other outpatient visit, typically 15 minutes	64	52	$126.00	$76.92
G0009 Administration of pneumococcal vaccine	44	44	$35.00	$21.31
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	37	25	$145.65	$97.02
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	28	28	$120.00	$105.59
G0444 Annual depression screening, 5 to 15 minutes	23	23	$30.96	$18.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	14	$354.35	$215.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	16	$110.00	$56.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$251.25	$152.96
90670 Pneumococcal vaccine for injection into muscle	16	16	$390.00	$197.19
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	15	12	$117.33	$73.34
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	14	11	$110.00	$43.83
99306 Initial nursing facility visit, typically 45 minutes per day	13	12	$285.54	$175.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	586	217	$178.40	$111.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	154	154	$200.25	$120.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	137	44	$181.42	$110.86
G0009 Administration of pneumococcal vaccine	103	103	$34.95	$26.42
G0008 Administration of influenza virus vaccine	95	95	$41.00	$26.42
83036 Hemoglobin A1C level	90	61	$24.17	$12.81
90662 Influenza vaccine split virus, preservative free	89	89	$53.99	$47.91
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	56	56	$120.00	$96.71
99306 Initial nursing facility visit, typically 45 minutes per day	55	54	$272.80	$176.02
90670 Pneumococcal vaccine for injection into muscle	47	47	$388.26	$186.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	37	27	$141.46	$96.38
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$123.50	$77.15
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	34	26	$280.53	$143.85
99306 Initial nursing facility visit, typically 45 minutes per day	33	33	$281.09	$175.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	29	$340.84	$215.95
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	29	21	$140.00	$96.43
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	22	20	$113.09	$73.00
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	21	18	$280.00	$144.08
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	18	$110.00	$56.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$236.28	$152.02
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	16	15	$100.00	$73.17
99238 Hospital discharge day management, 30 minutes or less	14	13	$127.50	$76.64
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$260.00	$174.15

Medical Specialties & State Licenses

CMS Verified: 2026-07-15

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IN 01095489A

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IL 036085478

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036085478 (IL)

Commercial Insurance / Payer ID Medicare Ptan

IL5686032 (IL)

Hospital & Practice Group Affiliations

Specialty Physicians Of Illinois Llc

20939 S Cicero Ave, Matteson, IL 604431620

Phone: 7086792770

Secondary Practice Locations

20939 S Cicero Ave

Matteson, IL 604431620

Phone: 7087099375

Practice Associates & Co-Workers

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

1 Associated Practitioners

Ann Waldron , APN

Nurse Practitioner - Gerontology

NPI 1184229429

Advanced Practice Nurse

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location July 15, 2026

Registered at 2150 GETTLER ST STE 400, DYER, IN 463112385 (Tel: 2198644970)

📍

Updated Business Mailing Address July 15, 2026

Registered at PO BOX 781076, DETROIT, MI 482781076 (Tel: 3175284800)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2026

Internal Medicine (License #01095489A in IN)

📍

Updated Business Mailing Address August 03, 2020

Registered at 35318 EAGLE WAY, CHICAGO, IL 606781353 (Tel: 3178658988)

✅

NPI Profile Active October 13, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 13, 2015

Registered at 20939 S CICERO AVE, MATTESON, IL 604431620 (Tel: 7087099375)

📍

Updated Business Mailing Address October 13, 2015

Registered at 1040 SIERRA DR 400, GREENWOOD, IN 461437241 (Tel: 3178658988)

👤

Provider Name / Credentials Updated October 13, 2015

Recorded as LANCE WALLACE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2015

Internal Medicine (License #036085478 in IL)

🟢

Initial NPI Registration & Enumeration June 08, 2006

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: 1538100128

Entity Type:

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

Enumeration Date: June 08, 2006

Last Update: July 15, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 781076

Detroit, MI 482781076

Phone: 3175284800

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.