William David Wallace, MD
Diagnostic Radiology Physician · Jackson, MS
William David Wallace, MD is a diagnostic radiology physician with a practice address in Jackson, Mississippi, and NPI 1679060438, issued on Apr 17, 2018. Check the license (Mississippi 28885, as entered in NPPES) on the Mississippi State Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- William David Wallace
- Credential
- MD
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License number
- 28885 MS
Self-reported in NPPES; status is on the state search - Practice location
- 969 Lakeland Dr, Jackson, MS 39216
- Phone
- (601) 200-2000
- Enumerated
- Apr 17, 2018
- Record last updated
- Jul 12, 2024
- Medicare enrollment
- Enrolled (PECOS I20230807002752); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 247 in Mississippi → Look up another NPI →
Also registered at 969 Lakeland Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kyle Adams, CRNACertified Registered Nurse Anesthetist1144793191
- Kelly Alexander, AGACNP-BCAcute Care Nurse Practitioner1104277136
- Paul Alleyne, M.D.Family Medicine Physician1457582629
- Steven Anthony, ACNP-BCAcute Care Nurse Practitioner1245474998
- Janie Armstrong, PA-CPhysician Assistant1235900549
- James Aron, M.D.Emergency Medicine Physician1245274687
Verify William David Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMississippi State Board of Medical Licensure
Search for license 28885Check 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 practice group's MIPS final score for 2023 (Medicare payment program): 86.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $108.26
5 payments; by number, the most common kind was food and beverage; the largest payer was Bard Peripheral Vascular, Inc. The 8,048 providers of this specialty with any payment received $2,488.38 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 one group practice
- Lakeland Radiologists P AJackson, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
William David Wallace among 247 diagnostic radiology physician records in Mississippi
William David Wallace, MD is one of 247 diagnostic radiology physician records with a practice address in Mississippi. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 91% of them.
- NPI issued2018 · 91% of these records are older, 6% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated2018 · median 2001 among the 166 with a school on file
- Record last updated2024 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
91 diagnostic radiology physician records list a practice address in Jackson
They are 91 of the 6,997 NPPES records with a practice address in Jackson, and 247 diagnostic radiology physician records in Mississippi.
All 247 in Mississippi → Every provider in Jackson → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- Bernard Blumenthal, M.D.Jackson, MS 392161497783989
- Philip Cranston, M.D.Jackson, MS 392161194760850
- Stephen Crawford, MDJackson, MS 392161447287107
- Michael Doherty, MDJackson, MS 392161720011695
- John Faust, M.D.Jackson, MS 392161972536837
- Candace Howard-Claudio, M.D., PH.D.Jackson, MS 392161497799118
- Scott McPherson, M.D.Jackson, MS 392161982638292
- Rameshkumar Patel, M.D.Jackson, MS 392161992739130
Common questions
What is William David Wallace, MD's NPI number?
William David Wallace, MD's National Provider Identifier (NPI) is 1679060438, issued on Apr 17, 2018. An NPI identifies a provider in billing; it is not a license.
Where is William David Wallace, MD located?
The NPPES record lists a practice address at 969 Lakeland Dr, Jackson, MS, 39216. Phone: (601) 200-2000. Providers update this record themselves, so call before visiting.
How can I verify William David Wallace, MD's license?
NPPES lists Mississippi license number 28885, as entered by the provider. Search the Mississippi State Board of Medical Licensure at https://www.msbml.ms.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is William David Wallace, MD's MIPS final score?
The 2023 MIPS final score is 86.5 of 100, reported for the practice group. 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.