William Robert Wallace, M.D.
Emergency Medicine Physician · Lexington, KY
William Robert Wallace, M.D. is an emergency medicine physician with a practice address in Lexington, Kentucky, and NPI 1851740609, issued on Jun 11, 2016. Check the license (Kentucky 55629, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- William Robert Wallace
- Credential
- M.D.
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- License numbers
- 55629 KY
2016015671 MO
Self-reported in NPPES; status is on the state search - Practice location
- 1221 S Broadway, Lexington, KY 40504
- Phone
- (859) 258-4000
- Enumerated
- Jun 11, 2016
- Record last updated
- Mar 29, 2023
- Fax
- (859) 258-6203
- Medicare enrollment
- Enrolled (PECOS I20210701003765); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest emergency medicine physician records → All 903 in Kentucky → Look up another NPI →
Also registered at 1221 S Broadway
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Syed Abbas, M.D.Rheumatology Physician1982658902
- Malinda Abbott, PAPhysician Assistant1467470203
- Michelle Adams, PAMedical Physician Assistant1578586863
- Jessica Adkins, MDEmergency Medicine Physician1639708712
- Sanjay Agarwala, MDDiagnostic Radiology Physician1932179041
- Muhammad Ahmed, MDEmergency Medicine Physician1912053042
Verify William Robert Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 55629Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.1 times the Medicare Part D claims of the average emergency medicine physician in 2024
704 Medicare Part D claims for 360 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. Brand-name drugs were 6% of claims. 142 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen117 claims
- Prednisone101 claims
- Ondansetron Odt94 claims
- Doxycycline Hyclate54 claims
- Cefdinir43 claims
- Naproxen26 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 80.9 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: $18.27
1 payment: food and beverage; the largest payer was Vertex Pharmaceuticals Incorporated. The 12,335 providers of this specialty with any payment received $953.79 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
- Southeastern Emergency Physicians LLCBardstown, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
William Robert Wallace among 903 emergency medicine physician records in Kentucky
William Robert Wallace, M.D. is one of 903 emergency medicine physician records with a practice address in Kentucky. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 75% of them.
- NPI issued2016 · 75% of these records are older, 22% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated2016 · median 2011 among the 557 with a school on file
- Record last updated2023 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
211 emergency medicine physician records list a practice address in Lexington
They are 211 of the 14,031 NPPES records with a practice address in Lexington, and 903 emergency medicine physician records in Kentucky.
All 903 in Kentucky → Every provider in Lexington → Emergency Medicine Physician nationwide →
The 8 emergency medicine physician records with the nearest ZIP codes
- James Blake, MDLexington, KY 405041679519847
- Timothy Carroll, MDLexington, KY 405041437189396
- Melissa Cheeseman, MDLexington, KY 405041689610917
- Jacky Crawford, M.D.Lexington, KY 405041316986433
- Marc Deshaies, MDLexington, KY 405041255390373
- Robert Hill, MDLexington, KY 405041124063177
- Anthony Karam, DOLexington, KY 405041245256007
- Jeremy Leslie, D.O.Lexington, KY 405041164478012
Common questions
What is William Robert Wallace, M.D.'s NPI number?
William Robert Wallace, M.D.'s National Provider Identifier (NPI) is 1851740609, issued on Jun 11, 2016. An NPI identifies a provider in billing; it is not a license.
Where is William Robert Wallace, M.D. located?
The NPPES record lists a practice address at 1221 S Broadway, Lexington, KY, 40504. Phone: (859) 258-4000. Providers update this record themselves, so call before visiting.
How can I verify William Robert Wallace, M.D.'s license?
NPPES lists Kentucky license number 55629, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does William Robert Wallace, M.D. prescribe under Medicare Part D?
In 2024, William Robert Wallace, M.D. had 704 Medicare Part D claims for 360 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.
What is William Robert Wallace, M.D.'s MIPS final score?
The 2023 MIPS final score is 80.9 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.