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.
- 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
8 nearest foot & ankle surgery podiatrist records → All 286 in Arizona → Look up another NPI →
Verify Blake Taylor Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arizona board licenses this profession
Search for license POD-001117Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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.
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
- Desert Foot And Ankle P CMesa, AZ
- 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.
All 286 in Arizona → Every provider in Phoenix → Foot & Ankle Surgery Podiatrist nationwide →
The 8 foot & ankle surgery podiatrist records with the nearest ZIP codes
- Heather Couch, D.P.M.Phoenix, AZ 850531184629156
- John Knochel, D.P.MPhoenix, AZ 850531063768877
- Amanda Lernor, D.P.M.Phoenix, AZ 850531861808917
- Carl Beecroft, DPMPhoenix, AZ 850481578564472
- William Burke, DPMPhoenix, AZ 850481417903550
- Kelvin Crezee, DPMPhoenix, AZ 850481447242888
- Byron Lemon, DPMPhoenix, AZ 850481952980559
- 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.