Active NPI 1962445825 Individual Practitioner Male Practitioner

Dr. William R Wallace , MD

Emergency Medicine • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. William Wallace, MD is a registered healthcare professional specializing in Emergency Medicine in Tyler, TX. Practice services are available at 1809 CAPITAL DR under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making, emergency department visit with straightforward medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1809 Capital Dr

Tyler, TX 757018438

Telephone 9035094499

Fax 9035094490

Associated Practice Facility / Clinic

🏢 Tyler Urgent Care Llp Facility NPI 1053442368

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Tyler, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.4 Yrs

State Avg: 22.2 Yrs

Regional Practice Density

91 Specialists

Practicing in Tyler, TX (5048 Statewide)

Telehealth Adoption Rate

1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

92.0% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	52	50	$1475.00	$116.40
99283 Emergency department visit with low level of medical decision making	52	50	$850.00	$69.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99282 Emergency department visit with straightforward medical decision making	178	162	$575.00	$40.74
99284 Emergency department visit with moderate level of medical decision making	103	101	$1475.00	$116.52
99283 Emergency department visit with low level of medical decision making	77	76	$850.00	$69.64
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	25	24	$84.00	$8.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99282 Emergency department visit with straightforward medical decision making	125	121	$575.00	$41.49
99283 Emergency department visit with low level of medical decision making	119	114	$850.00	$70.09
99284 Emergency department visit with moderate level of medical decision making	92	91	$1475.00	$119.10
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	22	20	$84.00	$8.13
99281 Emergency department visit for problem that may not require health care professional	11	11	$193.00	$21.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	151	139	$1475.00	$117.57
99282 Emergency department visit with straightforward medical decision making	94	88	$575.00	$42.87
99285 Emergency department visit for life threatening or functioning severity	21	21	$2125.00	$171.11
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$164.00	$16.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	161	149	$1040.80	$60.76
99284 Emergency department visit with moderate level of medical decision making	108	104	$1590.08	$115.12
99282 Emergency department visit with straightforward medical decision making	25	24	$575.00	$40.50
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$164.00	$16.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	196	179	$946.87	$60.66
99284 Emergency department visit with moderate level of medical decision making	38	37	$1603.13	$115.08
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$164.00	$16.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	54	52	$850.00	$58.49
99284 Emergency department visit with moderate level of medical decision making	18	18	$1475.00	$110.93

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License TX H9585

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

139484314 (TX)

Commercial Insurance / Payer ID Bcbs

0076EJ (TX)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Stacy Gregory , ACNP

Nurse Practitioner - Acute Care

NPI 1528483591

Dr. Bradley Robertson , MD

Emergency Medicine

NPI 1760425326

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 April 02, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location April 02, 2010

Registered at 1809 CAPITAL DR, TYLER, TX 757018438 (Tel: 9035094499)

📍

Updated Business Mailing Address April 02, 2010

Registered at 1809 CAPITAL DR, TYLER, TX 757018438 (Tel: 9035094499)

👤

Provider Name / Credentials Updated April 02, 2010

Recorded as WILLIAM WALLACE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2010

Emergency Medicine (License #H9585 in TX)

🟢

Initial NPI Registration & Enumeration June 14, 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: 1962445825

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: April 02, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1809 Capital Dr

Tyler, TX 757018438

Phone: 9035094499

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.