David R. Wallace Jr., M.D.
NPI 1265743595ActiveIndividual· Radiology, Diagnostic Radiology· Lake Charles, LA
Radiology, Diagnostic Radiology (M.D.) in Lake Charles, Louisiana, trained at Louisiana State University School of Medicine in Shreveport (class of 2010). Medicare paid $234,852 for services to 4,703 patients in 2024. Cleerly, Inc. was the largest of 2 companies reporting payments in 2025, $120.96 in all, mostly food and beverage.
Overview
| NPI | 1265743595 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 1, 2010 |
| Last updated in NPPES | Mar 12, 2025 |
| Certified by provider | Mar 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | MD.204718 | LA |
| Radiology, Diagnostic Radiology | 2085R0202X | A136122 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (CA); Practitioner - Diagnostic Radiology (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 4,703 |
|---|---|
| Services billed | 7,497 across 156 procedure codes |
| Paid by Medicare | $234,852 |
Education and affiliations
| Medical school | Louisiana State University School of Medicine in Shreveport |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Highland Clinic, A Prof Med CorpShreveport, LA · 66 clinicians
- Paradigm Health SystemSlidell, LA · 36 clinicians
- Center for Orthopaedics and Spine LLCLake Charles, LA · 33 clinicians
- Gulf Coast Radiology LLCShreveport, LA · 4 clinicians
Hospital affiliations
- Ochsner Medical Center AcuteNew Orleans, LA
- Ochsner Medical Center-HancockBay Saint Louis, MS
- Slidell Memorial HospitalSlidell, LA
- Specialists Hospital ShreveportShreveport, LA
- Sterling Surgical HospitalSlidell, LA
Industry payments (Open Payments)
- 2025$120.96 · 2 payments from 2 companies
- 2024$324.20 · 3 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Cleerly, Inc. | $100.00 | 1 |
| Collegium Pharmaceutical, Inc. | $20.96 | 1 |
What the 2025 payments were for
- Food and Beverage$120.96 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 32 diagnostic radiologists in Lake Charles · All diagnostic radiologists in Louisiana