CHARLES WALLACE, MD

Plastic and Reconstructive Surgery Physician · DALLAS, TX

Individual Active NPI 1164422481

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	12	52	$39,985	$15,540	$12,305

Taxonomy & licensure

Specialty	Code	Primary	License	State
Plastic and Reconstructive Surgery Physician	2086S0122X	✓	G3885	TX

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.