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Active NPI 1932193604 Individual Practitioner Male Practitioner

Dr. David Wallace , DO

Anesthesiology • Draper, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Wallace, DO is a certified Anesthesiology practicing in Draper, UT. With approximately 40 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 1986, Dr. Wallace delivers high-quality medical care to the local community at 738 GOLDEN PHEASANT DR.

Dr. Wallace is affiliated with Associated Anesthesiologists Of Fort Wayne Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on lower intestine using an endoscope, anesthesia for procedure on gastrointestinal tract using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

738 Golden Pheasant Dr

Draper, UT 840208454

Telephone 8014037980

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Draper, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
40 Yrs +18.0 yrs vs City Avg
City Avg: 22.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Draper, UT (687 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (40 Years) 40 Yrs
Draper Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00810 Anesthesia for procedure on lower intestine using an endoscope
29 29 $764.74 $153.73
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope
13 13 $704.95 $142.41

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License UT 272263-1205

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License MI 5101010132

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License MS 15448

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License ID O-168

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
D4253 (UT)

Hospital & Practice Group Affiliations

Associated Anesthesiologists Of Fort Wayne Pc

2520 E Dupont Rd, Fort Wayne, IN 468251675

Phone: 2604163000

Associated Anesthesiologists Of Fort Wayne Pc

1316 E 7th St, Auburn, IN 467062538

Phone: 2609254600

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 10, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2007

Registered at 738 GOLDEN PHEASANT DR, DRAPER, UT 840208454 (Tel: 8014037980)

📍
Updated Business Mailing Address October 10, 2007

Registered at 738 GOLDEN PHEASANT DR, DRAPER, UT 840208454 (Tel: 8014037980)

👤
Provider Name / Credentials Updated October 10, 2007

Recorded as DAVID WALLACE, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2007

Anesthesiology (License #272263-1205 in UT)

🟢
Initial NPI Registration & Enumeration September 08, 2005

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: 1932193604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2005
Last Update: October 10, 2007
Sole Proprietor: No

Mailing Address

738 Golden Pheasant Dr

Draper, UT 840208454

Phone: 8014037980

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.