Active NPI 1609012731 Individual Practitioner Male Practitioner

Dr. Matthew Tristan Wallace , MD

Orthopaedic Surgery • Baltimore, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Wallace, MD is a certified Orthopaedic Surgery practicing in Baltimore, MD. With approximately 18 years of clinical experience since graduating from Emory University School Of Medicine in 2008, Dr. Wallace delivers high-quality medical care to the local community at 701 KINGSTON RD.

Dr. Wallace is affiliated with Seton Family Of Doctors and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

701 Kingston Rd

Baltimore, MD 212121939

Telephone 4103777658

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Baltimore, MD

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -5.3 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

166 Specialists

Practicing in Baltimore, MD (490 Statewide)

Telehealth Adoption Rate

18.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (18 Years) 18 Yrs

Baltimore Specialty Average (23.3 Years) 23.3 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
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$629.00	$219.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$501.00	$167.03

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	28	28	$273.07	$131.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$501.00	$154.12

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	108	85	$267.22	$133.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	55	55	$510.64	$232.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	41	$368.67	$189.80

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	81	62	$263.40	$140.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	61	61	$517.46	$239.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	40	$382.38	$194.79

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	89	70	$270.19	$117.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	47	47	$507.47	$224.62
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$188.70	$81.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$334.71	$147.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	12	$250.00	$111.90

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	191	138	$254.84	$115.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	50	50	$463.90	$220.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$295.41	$144.72
20610 Aspiration and/or injection of fluid from large joint	15	15	$235.40	$76.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$433.08	$175.07
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$3722.64	$1316.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$368.73	$154.88

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	220	147	$237.30	$114.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	44	44	$437.61	$213.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$421.42	$214.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$289.73	$144.94
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	18	18	$2937.64	$1244.53
76000 Imaging guidance for procedure, 60 minutes or less	15	15	$21.00	$9.41
20610 Aspiration and/or injection of fluid from large joint	14	12	$189.43	$70.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$408.73	$175.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$310.82	$154.71

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	206	129	$227.38	$114.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	55	55	$429.27	$215.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$283.00	$144.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$417.00	$213.28
20610 Aspiration and/or injection of fluid from large joint	16	15	$186.81	$69.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$301.00	$153.23
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$155.38	$77.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$345.00	$174.14

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License DC PENDING

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

Seton Family Of Doctors

1400 N Ih 35, Austin, TX 787011926

Seton Family Of Doctors

1400 N Ih 35 Ll, Austin, TX 787011926

Phone: 5123247300

Seton Family Of Doctors

1500 Red River St, Austin, TX 787011918

Phone: 5123247000

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 19, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location December 19, 2008

Registered at 701 KINGSTON RD, BALTIMORE, MD 212121939 (Tel: 4103777658)

📍

Updated Business Mailing Address December 19, 2008

Registered at 701 KINGSTON RD, BALTIMORE, MD 212121939 (Tel: 4103777658)

👤

Provider Name / Credentials Updated December 19, 2008

Recorded as MATTHEW WALLACE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2008

Orthopaedic Surgery (License #PENDING in DC)

🟢

Initial NPI Registration & Enumeration December 19, 2008

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: 1609012731

Entity Type:

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

Enumeration Date: December 19, 2008

Last Update: December 19, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

701 Kingston Rd

Baltimore, MD 212121939

Phone: 4103777658

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.