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 this city , 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 |