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Dr. Eric Wallace , PhD

Psychologist - Counseling โ€ข Shaker Heights, OH

Active NPI 1912409160 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

22001 Fairmount Blvd
Shaker Heights, OH 441184819

Call 2163208456 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

22001 Fairmount Blvd

Shaker Heights, OH 441184819

Telephone 2163208456
Organization at the Same NPPES Address or Phone
Bellefaire Jewish Children's Bureau Facility NPI 1205893070

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: State Of Ohio Office Of Budget And Management State Accounting. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Medicare patients

18 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $671 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $534 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Wallace has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Wallace as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Shaker Heights and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 90% of clinicians listed under Psychologist - Counseling in Ohio (2024, 17 clinicians with data). Median for this group: 159. Middle half: 116 to 237.

Too few clinicians listed under Psychologist - Counseling in Shaker Heights have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 95% of clinicians listed under Psychologist - Counseling in Ohio (2024, 17 clinicians with data). Median for this group: $22,459. Middle half: $15,853 to $32,323.

Too few clinicians listed under Psychologist - Counseling in Shaker Heights have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 95% of clinicians listed under Psychologist - Counseling in Ohio (2024, 17 clinicians with data). Median for this group: $17,000. Middle half: $11,870 to $24,653.

Too few clinicians listed under Psychologist - Counseling in Shaker Heights have Medicare Part B data for 2024 to compare.

1 active clinicians are listed under Psychologist - Counseling with a practice address in Shaker Heights, OH (209 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
90853 Group psychotherapy
31 13 $21.99 $21.63

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

License # reported to NPPES OH P.07864

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20200526001569

Enrollment State Jurisdiction

OH

PECOS Control ID

1052732260

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

State Of Ohio Office Of Budget And Management State Accounting

1756 Sagamore Rd, Northfield, OH 440671086

Phone: 3308333135

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Miranda Barnhart , CNP

Nurse Practitioner - Family

NPI 1437899283

Certified Nurse Practitioner

Kerry Katz , LISW-S

Social Worker - Clinical

NPI 1003119942

LISWS

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2019

Psychologist (license number reported to NPPES: OH P.07864)

โœ…
NPI Profile Active March 05, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 05, 2018

Registered at 22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 441184819 (Tel: 2163208456)

๐Ÿ“
Business Mailing Address (Initial Record) March 05, 2018

Registered at 22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 441184819 (Tel: 2163208456)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 05, 2018

Recorded as ERIC WALLACE, PHD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2018

Psychologist

๐ŸŸข
Initial NPI Registration & Enumeration March 05, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912409160
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2018
Last Update: March 20, 2019
Sole Proprietor: No

Mailing Address

22001 Fairmount Blvd

Shaker Heights, OH 441184819

Phone: 2163208456

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.