Stephen J Wallace MD PC
NPI 1063176352 · Orthopaedic Trauma Physician · Lake Oswego, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen J Wallace MD PC is a Orthopaedic Trauma Physician organization in Lake Oswego, OR (NPI 1063176352).
Provider details
- NPI number
- 1063176352
- Entity type
- Organization
- Primary specialty
- Orthopaedic Trauma PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Wallace, MD(270) 556-0604
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-10-24
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Frequently asked questions
- What is Stephen J Wallace MD PC's NPI number?
- Stephen J Wallace MD PC's National Provider Identifier (NPI) is 1063176352, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stephen J Wallace MD PC?
- Stephen J Wallace MD PC is classified in the NPPES registry as Orthopaedic Trauma Physician (Allopathic & Osteopathic Physicians).
- Where is Stephen J Wallace MD PC located?
- Stephen J Wallace MD PC's practice location on file with NPPES is 4103 Mercantile Dr, Lake Oswego, OR 97035-2556.
- What is Stephen J Wallace MD PC's phone number?
- The practice phone number listed in the NPPES registry for Stephen J Wallace MD PC is (503) 850-9940.
- Does Stephen J Wallace MD PC accept Medicare?
- Stephen J Wallace MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Stephen J Wallace MD PC?
- The authorized official listed on Stephen J Wallace MD PC's NPPES record is Stephen Wallace, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stephen J Wallace MD PC's NPI active?
- Yes — Stephen J Wallace MD PC's NPI (1063176352) is active in the NPPES registry as of the last update on 2026-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.