Doctor profile · Federal record
Dr. David Wallace, M.D.
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Diagnostic Radiology Physician · Student in an Organized Health Care Education/Training Program · Lake Charles, LA
- NPI 1265743595
- Accepts Medicare
- 16 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
1800 Ryan St Ste 105
Lake Charles, LA 706016078
(337) 439-4706
fax (337) 439-8110 - Additional location
-
10310 the Grove Blvd
Baton Rouge, LA 708366455
(225) 761-5200
fax (225) 761-5750 - Additional location
-
1453 E Bert Kouns Industrial Loop Ste 210
Shreveport, LA 711056810
(318) 798-4623 - Additional location
-
1455 E Bert Kouns Industrial Loop
Shreveport, LA 711055634
(318) 798-4500
Show 1 more location
Credentials & registration
- NPI registered
- July 2010 — 16 yrs on file
- Profile last updated
- March 12, 2025
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (2)
- Louisiana #MD.204718 · California #A136122
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265743595. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
6,082
Distinct HCPCS
10
Medicare allowed
$272,572
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
72148 |
Mri scan of lower spinal canal without contrast | 823 | 808 | $67 | |
71046 |
X-ray of chest, 2 views | 649 | 634 | $10 | |
73721 |
Mri scan of leg joint without contrast | 427 | 408 | $62 | |
73221 |
Mri scan of arm joint without contrast | 368 | 347 | $62 | |
73700 |
Ct scan of leg without contrast | 334 | 317 | $45 | |
77080 |
Dxa bone density measurement of hip, pelvis, spine | 312 | 312 | $9 | |
72141 |
Mri scan of upper spinal canal without contrast | 290 | 289 | $68 | |
73200 |
Ct scan of arm without contrast | 157 | 149 | $45 | |
72192 |
Ct scan of pelvis without contrast | 140 | 130 | $50 | |
71250 |
Ct scan of chest without contrast | 127 | 112 | $50 |
In context: peer comparison
Among 7 peers in Lake Charles Diagnostic Radiology Physician, average services per provider: 139. This provider delivers 44× the peer median.Open Payments
Industry payments received
All-time total
$324
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Cleerly, INC. | 3 | $324.20 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. David Wallace's medical specialty?
Dr. David Wallace practices Diagnostic Radiology Physician in Lake Charles, LA.
Where does Dr. David Wallace practice?
Dr. David Wallace practices at 1800 Ryan St Ste 105, Lake Charles, LA 706016078. Office phone: 3374394706.
What is Dr. David Wallace's NPI?
Dr. David Wallace's National Provider Identifier (NPI) is 1265743595, issued by NPPES.
Does Dr. David Wallace accept Medicare assignment?
Yes. Dr. David Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. David Wallace commonly perform?
Top Medicare-reported procedures in 2023: Mri scan of lower spinal canal without contrast (HCPCS 72148); X-ray of chest, 2 views (HCPCS 71046); Mri scan of leg joint without contrast (HCPCS 73721). Source: CMS Medicare Physician & Other Practitioners file.