Dr. Bradley J. Wallum , MD
Specialist • Bellevue, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bradley Wallum has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Bradley Wallum, MD was a registered Specialist practicing in Bellevue, WA. Throughout an active medical career spanning 14 years, Dr. Wallum provided care at the practice location at 2020 116TH AVE NE until profile deactivation on 2019-04-01.
Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, fine needle aspiration biopsy, first growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
2020 116th Ave Ne
Suite 150
Bellevue, WA 980043059
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Bellevue, WA
Practicing in Bellevue, WA (2751 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| 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
|
458 | 193 | $180.00 | $116.56 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
37 | 18 | $115.00 | $78.16 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
13 | 13 | $260.00 | $177.23 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
11 | 11 | $70.00 | $48.08 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Internal Medicine - Endocrinology, Diabetes & Metabolism
Doctor of Medicine (M.D.)
Optometrist
Doctor of Optometry
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 01, 2019
NPI status registered as active in NPPES database
Registered at 2020 116TH AVE NE, SUITE 150, BELLEVUE, WA 980043059 (Tel: 4254539762)
Registered at 4332 193RD AVE SE, ISSAQUAH, WA 980279704 (Tel: 4256499817)
Recorded as BRADLEY WALLUM, M.D.
Specialist (License #MD00021456 in WA)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
4332 193rd Ave Se
Issaquah, WA 980279704
Phone: 4256499817
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