Active NPI 1780614529 Individual Practitioner Male Practitioner

Dr. Eric Lee Wallace , MD

Surgery • Cookeville, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Eric Wallace, MD is a certified Surgery practicing in Cookeville, TN. With approximately 25 years of clinical experience since graduating from Vanderbilt University School Of Medicine in 2001, Dr. Wallace delivers high-quality medical care to the local community at 145 W 4TH ST STE 201.

Dr. Wallace maintains professional affiliations with Middle Tennessee Surgical Specialists, Llc, Cookeville Regional Medical Center and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

145 W 4th St Ste 201

Cookeville, TN 385012476

Telephone 9317835515

Fax 9317835513

Associated Practice Facility / Clinic

🏢 Cookeville Regional Medical Group, Inc Facility NPI 1649202102

Medicare Profile & Education

Medical School

Vanderbilt University School Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cookeville, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -4.8 yrs vs City Avg

City Avg: 29.8 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

5 Specialists

Practicing in Cookeville, TN (682 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (25 Years) 25 Yrs

Cookeville Specialty Average (29.8 Years) 29.8 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$424.56	$158.15
49650 Repair of groin hernia using an endoscope	19	19	$2368.42	$476.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$322.67	$123.47
47562 Removal of gallbladder using an endoscope	13	13	$2436.92	$580.40

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	85	85	$435.00	$160.49
49650 Repair of groin hernia using an endoscope	35	35	$2160.00	$430.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$310.00	$123.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$300.00	$107.71

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	91	91	$369.62	$163.42
49650 Repair of groin hernia using an endoscope	34	34	$2488.24	$528.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	12	$160.00	$69.31
47562 Removal of gallbladder using an endoscope	23	23	$2441.74	$605.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$259.00	$125.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$425.00	$192.62

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	80	80	$353.00	$160.98
49650 Repair of groin hernia using an endoscope	34	34	$2382.35	$493.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$250.00	$127.53
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$150.00	$89.52
47562 Removal of gallbladder using an endoscope	22	22	$2434.55	$567.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$235.00	$110.12

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	67	67	$350.00	$157.98
49650 Repair of groin hernia using an endoscope	29	29	$2544.83	$499.64
47562 Removal of gallbladder using an endoscope	18	18	$2600.00	$657.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$250.00	$106.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$235.00	$99.25

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	107	107	$350.75	$159.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	44	$250.00	$105.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	20	$160.00	$69.95
47562 Removal of gallbladder using an endoscope	32	32	$2600.00	$630.63
49650 Repair of groin hernia using an endoscope	31	30	$2264.52	$456.17
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$150.00	$71.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$425.00	$198.22
49654 Repair of incisional hernia using an endoscope	18	18	$3310.00	$827.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$235.00	$104.54

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	83	83	$350.96	$154.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	21	$160.00	$68.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	42	$425.00	$196.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	36	$250.00	$101.64
49650 Repair of groin hernia using an endoscope	34	33	$2382.35	$451.10
47562 Removal of gallbladder using an endoscope	31	30	$2541.29	$615.89
99213 Established patient office or other outpatient visit, typically 15 minutes	30	25	$150.00	$69.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	13	$92.00	$37.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$235.00	$103.11
99220 Hospital observation care, typically 70 minutes	12	12	$350.00	$180.42
49585 Repair of hernia at navel (5 years or older)	11	11	$1500.00	$407.47

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	77	77	$351.04	$153.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	22	$160.00	$69.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$256.06	$102.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$425.00	$195.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$235.00	$101.67
99213 Established patient office or other outpatient visit, typically 15 minutes	29	27	$152.93	$69.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	20	$92.00	$37.92
47562 Removal of gallbladder using an endoscope	24	24	$2524.17	$611.70
49650 Repair of groin hernia using an endoscope	19	19	$2368.42	$411.73
99238 Hospital discharge day management, 30 minutes or less	16	16	$295.00	$69.95
49585 Repair of hernia at navel (5 years or older)	14	14	$1500.00	$366.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$280.00	$132.12

Medical Specialties & State Licenses

CMS Verified: 2025-10-14

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN 71205

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

Q096326 (TN)

Hospital & Practice Group Affiliations

Cookeville Regional Medical Center

145 W 4th St, Cookeville, TN 385012476

Phone: 9317832143

Middle Tennessee Surgical Specialists, Llc

203 N Cedar Ave, Cookeville, TN 385012498

Phone: 9315281992

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Terah Isaacson , MD

Colon & Rectal Surgery

NPI 1023220316

Doctor of Medicine (M.D.)

Dr. Daniel Howell , MD

Surgery

NPI 1235393612

Doctor of Medicine (M.D.)

Chinmay Majmundar , MDFACS

Surgery

NPI 1336127885

Shelby Van Epps , FNP-BC

Nurse Practitioner - Family

NPI 1568135796

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location October 14, 2025

Registered at 145 W 4TH ST STE 201, COOKEVILLE, TN 385012476 (Tel: 9317835515)

📍

Updated Business Mailing Address October 14, 2025

Registered at 140 W 7TH ST, COOKEVILLE, TN 385011726 (Tel: 9317835515)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2025

Surgery (License #71205 in TN)

📍

Updated Practice Location February 08, 2022

Registered at 1450 MATTHEWS TOWNSHIP PKWY STE 250, MATTHEWS, NC 281055331 (Tel: 7048411444)

📍

Updated Business Mailing Address February 08, 2022

Registered at PO BOX 33369, CHARLOTTE, NC 282333369 (Tel: 7043648100)

✅

NPI Profile Active February 15, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 15, 2010

Registered at 1450 MATTHEWS TOWNSHIP PARKWAY, SUITE 300, MATTHEWS, NC 28105 (Tel: 7048411444)

📍

Updated Business Mailing Address February 15, 2010

Registered at 1918 RANDOLPH ROAD, SUITE 130, CHARLOTTE, NC 282071107 (Tel: 7043648100)

👤

Provider Name / Credentials Updated February 15, 2010

Recorded as ERIC WALLACE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2010

Surgery (License #2006-00806 in NC)

🟢

Initial NPI Registration & Enumeration July 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1780614529

Entity Type:

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

Enumeration Date: July 04, 2006

Last Update: October 14, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

140 W 7th St

Cookeville, TN 385011726

Phone: 9317835515

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.