Bradley Wallace, M.D.
Surgery Physician · Colorado Springs, CO
Bradley Wallace, M.D. is a surgery physician with a practice address in Colorado Springs, Colorado, and NPI 1881038115, issued on Apr 17, 2013. Check the license (Colorado DR.0063071, as entered in NPPES) on the Colorado Medical Board; the Medicare figures below come from public CMS files.
- Name
- Bradley Wallace
- Credential
- M.D.
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- DR.0063071 CO
Self-reported in NPPES; status is on the state search - Practice location
- 1400 E Boulder St Ste 500, Colorado Springs, CO 80909
- Phone
- (719) 364-6487
- Enumerated
- Apr 17, 2013
- Record last updated
- Jun 23, 2022
- Medicare enrollment
- Enrolled (PECOS I20220922002158); accepts Medicare assignment
- Medical or professional school
- University Of Texas Southwestern Medical School At Dallas, 2013
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 608 in Colorado → Look up another NPI →
Also registered at 1400 E Boulder St Ste 500
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Katherine Alexander, PA-CPhysician Assistant1336796804
- Jesseca Ayres, PA-CPhysician Assistant1467241901
- Madhurima Baliga, MDSurgery Physician1679033005
- Andrew Berson, MDSurgery Physician1104803071
- Christine Christiansen, NPNurse Practitioner1710460092
- John Colby, P.A.-CSurgical Physician Assistant1891797528
Verify Bradley Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersColorado Medical Board
Search for license DR.0063071Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The MIPS final score for 2023 (Medicare payment program): 97.6 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Poudre Valley Medical Group LLCColorado Springs, CO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Bradley Wallace among 608 surgery physician records in Colorado
Bradley Wallace, M.D. is one of 608 surgery physician records with a practice address in Colorado. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 78% of them.
- NPI issued2013 · 78% of these records are older, 19% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2013 · median 2005 among the 370 with a school on file
- Record last updated2022 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Colorado practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Colorado
There are 608 surgery physician records in Colorado.
All 608 in Colorado → Every provider in Colorado Springs → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Andrew Berson, MDColorado Springs, CO 809091104803071
- Gregory Borst, M.D.Colorado Springs, CO 809091770803769
- Larry Butler, M.D.Colorado Springs, CO 809091740267616
- Brett Fair, M.D.Colorado Springs, CO 809091043570161
- Jeremy Hedges, MDColorado Springs, CO 809091467508085
- Kristin Kennedy, D.O.Colorado Springs, CO 809091639552722
- Brian Leininger, M.D.Colorado Springs, CO 809091447230883
- Ashley McCusker, MDColorado Springs, CO 809091811284417
Common questions
What is Bradley Wallace, M.D.'s NPI number?
Bradley Wallace, M.D.'s National Provider Identifier (NPI) is 1881038115, issued on Apr 17, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Bradley Wallace, M.D. located?
The NPPES record lists a practice address at 1400 E Boulder St Ste 500, Colorado Springs, CO, 80909. Phone: (719) 364-6487. Providers update this record themselves, so call before visiting.
How can I verify Bradley Wallace, M.D.'s license?
NPPES lists Colorado license number DR.0063071, as entered by the provider. Search the Colorado Medical Board at https://dpo.colorado.gov/Medical. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Bradley Wallace, M.D.'s MIPS final score?
The 2023 MIPS final score is 97.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.
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.