Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730591017 Individual Practitioner Male Practitioner

Dr. Jerald Payden Wallace , MD

Surgery • Lexington, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jerald Wallace, MD is a certified Surgery practicing in Lexington, KY. With approximately 12 years of clinical experience since graduating from University Of Alabama School Of Medicine in 2014, Dr. Wallace delivers high-quality medical care to the local community at 800 ROSE ST.

Dr. Wallace is affiliated with West Alabama Physician Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of muscle and/or tissue, 20.0 sq cm or less, subsequent hospital care with moderate levelof medical decision making, if using time, at least, removal of skin and 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

800 Rose St
C246

Lexington, KY 405360293

Telephone 8593236162
Associated Practice Facility / Clinic
🏢 University Of Kentucky Facility NPI 1518911338

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lexington, KY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -8.0 yrs vs City Avg
City Avg: 20.0 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
73 Specialists

Practicing in Lexington, KY (495 Statewide)

Telehealth Adoption Rate
4.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (12 Years) 12 Yrs
Lexington Specialty Average (20.0 Years) 20.0 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
11043 Removal of muscle and/or tissue, 20.0 sq cm or less
85 18 $388.00 $138.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
71 34 $87.00 $71.89
11042 Removal of skin and tissue, 20.0 sq cm or less
43 21 $154.00 $50.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
42 29 $156.00 $116.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
30 27 $165.00 $113.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
26 26 $202.00 $152.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
22 22 $242.00 $158.76
99213 Established patient office or other outpatient visit, typically 15 minutes
21 12 $110.00 $82.74
47562 Removal of gallbladder using an endoscope
12 12 $1615.00 $564.64

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 49437

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.

Hospital & Practice Group Affiliations

West Alabama Physician Associates Llc

1031 Fairfax Park, Tuscaloosa, AL 354062807

Phone: 2053452212

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013412881
NPI 1023578846
Dr. Erica Helgeson , MD

Student in an Organized Health Care Education/Training Program

NPI 1053252320

Doctor of Medicine (M.D.)

Dr. Brooks Platt , MD

Emergency Medicine - Sports Medicine

NPI 1073190526

Doctor of Medicine (M.D.)

Dr. Zhuang-Yao Wei , MD

Student in an Organized Health Care Education/Training Program

NPI 1073217980

Doctor of Medicine (M.D.)

Dr. Benjamin Duggan , MD

Student in an Organized Health Care Education/Training Program

NPI 1073363529

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 July 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2016

Registered at 800 ROSE ST, C246, LEXINGTON, KY 405360293 (Tel: 8593236162)

📍
Updated Business Mailing Address July 07, 2016

Registered at 800 ROSE ST, C246, LEXINGTON, KY 405360293 (Tel: 8593236162)

👤
Provider Name / Credentials Updated July 07, 2016

Recorded as JERALD WALLACE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2016

Surgery (License #49437 in KY)

🟢
Initial NPI Registration & Enumeration May 21, 2014

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: 1730591017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2014
Last Update: July 07, 2016
Sole Proprietor: No

Mailing Address

800 Rose St, C246

Lexington, KY 405360293

Phone: 8593236162

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.