NPPES file of Aug 9, 2026

Blake Taylor Wallace, DPM

Foot & Ankle Surgery Podiatrist · Phoenix, AZ

Blake Taylor Wallace, DPM is a foot & ankle surgery podiatrist with a practice address in Phoenix, Arizona, and NPI 1083216949, issued on Nov 14, 2020. Check the license (Arizona POD-001117, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1083216949
Name
Blake Taylor Wallace
Credential
DPM
Primary taxonomy
Foot & Ankle Surgery Podiatrist 213ES0103X
License number
POD-001117 AZ
Self-reported in NPPES; status is on the state search
Practice location
15601 N 28TH Ave Ste 102, Phoenix, AZ 85053
Phone
(480) 844-8218
Enumerated
Nov 14, 2020
Record last updated
Jul 29, 2024
Medicare enrollment
Enrolled (PECOS I20240807003164); accepts Medicare assignment
Medical or professional school
California School Of Podiatric Medicine, 2021
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Blake Taylor Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this profession
    Search for license POD-001117
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Arizona license search

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Industry payments in 2024: $2,680.28

45 payments; by number, the most common kind was food and beverage; the largest payer was Stryker Corporation. The 6,936 providers of this specialty with any payment received $2,972.24 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Blake Wallace$2,680.28
  2. Specialty average$2,972.24

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Desert Foot And Ankle P CMesa, AZ
  2. Pnc Podiatry OF Arizona PCGlendale, AZ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Blake Taylor Wallace among 286 foot & ankle surgery podiatrist records in Arizona

Blake Taylor Wallace, DPM is one of 286 foot & ankle surgery podiatrist records with a practice address in Arizona. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 91% of them.

  • NPI issued2020 · 91% of these records are older, 7% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileYes · 84% of these records are
  • Graduated2021 · median 2011 among the 240 with a school on file
  • Record last updated2024 · 47% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 213ES0103X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Foot & Ankle Surgery Podiatrist providers in Arizona

There are 286 foot & ankle surgery podiatrist records in Arizona.

The 8 foot & ankle surgery podiatrist records with the nearest ZIP codes

  1. Heather Couch, D.P.M.Phoenix, AZ 850531184629156
  2. John Knochel, D.P.MPhoenix, AZ 850531063768877
  3. Amanda Lernor, D.P.M.Phoenix, AZ 850531861808917
  4. Carl Beecroft, DPMPhoenix, AZ 850481578564472
  5. William Burke, DPMPhoenix, AZ 850481417903550
  6. Kelvin Crezee, DPMPhoenix, AZ 850481447242888
  7. Byron Lemon, DPMPhoenix, AZ 850481952980559
  8. Jordan Richardson, DPMPhoenix, AZ 850481467039925

Common questions

What is Blake Taylor Wallace, DPM's NPI number?

Blake Taylor Wallace, DPM's National Provider Identifier (NPI) is 1083216949, issued on Nov 14, 2020. An NPI identifies a provider in billing; it is not a license.

Where is Blake Taylor Wallace, DPM located?

The NPPES record lists a practice address at 15601 N 28TH Ave Ste 102, Phoenix, AZ, 85053. Phone: (480) 844-8218. Providers update this record themselves, so call before visiting.

How can I verify Blake Taylor Wallace, DPM's license?

NPPES lists Arizona license number POD-001117, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.