Michael Wallace, MD
NPI 1942299821 · Gastroenterology Physician · Jacksonville, FL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Wallace, MD is a Gastroenterology Physician provider in Jacksonville, FL (NPI 1942299821).
Provider details
- NPI number
- 1942299821
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 47138 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
322 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 85 | $229 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 64 | $63 |
| Ultrasound Exam of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope Through Mouth43237 | 32 | $157 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 25 | $98 |
| Removal of Large Bowel Tissue Using a Flexible Endoscope45390 | 22 | $320 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$11,314 across 19 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-13
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Frequently asked questions
- What is Michael Wallace's NPI number?
- Michael Wallace's National Provider Identifier (NPI) is 1942299821, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Wallace's specialty?
- Michael Wallace is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Wallace located?
- Michael Wallace's practice location on file with NPPES is 4500 San Pablo Rd S, Jacksonville, FL 32224-1865.
- What is Michael Wallace's phone number?
- The practice phone number listed in the NPPES registry for Michael Wallace is (904) 953-2000.
- Does Michael Wallace accept Medicare?
- Michael Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Wallace's NPI active?
- Yes — Michael Wallace's NPI (1942299821) is active in the NPPES registry as of the last update on 2025-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.