Matthew Malone Wallace, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

0101274476 Issued in VA

Practice address

3829 Gaskins Rd Ste a
Richmond, VA 23233-1437

Phone

(804) 282-8510

NPI assigned

May 3, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

Virginia Commonwealth University, School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richmond Dermatology SpecialistsGroup PAC ID 5890736060, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

Merit-based Incentive Payment System (MIPS)

Final score

84.08 of 100Reported as individual

Quality

68.16

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwallace@richmond.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richmond Dermatology Specialists

  • Specialist
  • Richmond, VA
  • NPI 1508898420
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bon Secours St Mary's Hospital of Richmond LLC

  dba Bon Secours Laboratory Services - Richmond

  • Clinical Medical Laboratory
  • Richmond, VA
  • NPI 1588129480

  Hospital

  Care Compare affiliation
• Bon Secours St. Mary's Hospital of Richmond LLC

  dba Bon Secours St Mary's Hospital

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1962464016
  Care Compare affiliation
• Bon Secours-St. Mary's Hospital of Richmond, Inc.

  dba Bon Secours St. Mary's Hospital Sleep Lab

  • Sleep Disorder Diagnostic Clinic/Center
  • Mechanicsville, VA
  • NPI 1457687543

  Hospital

  Care Compare affiliation
• Bon Secours-St. Mary's Hospital of Richmond, Inc.

  dba Bon Secours St. Mary's Hospital Sleep Lab

  • Sleep Disorder Diagnostic Clinic/Center
  • Midlothian, VA
  • NPI 1548596638

  Hospital

  Care Compare affiliation
• Bon Secours-St. Mary's Hospital of Richmond, Inc.

  dba Bon Secours St. Mary's Hospital Heart and Vascular Institute

  • Cardiac Rehabilitation Clinic/Center
  • Richmond, VA
  • NPI 1902132095

  Hospital

  Care Compare affiliation
• Bon Secours-St. Mary's Hospital of Richmond, Inc.

  dba Bon Secours St. Mary's Hospital Sleep Lab

  • Sleep Disorder Diagnostic Clinic/Center
  • Richmond, VA
  • NPI 1992031348

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1255867784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 GASKINS RD STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 GASKINS RD STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331437",
            "telephone_number": "804-282-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "MATTHEW",
        "middle_name": "MALONE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0101274476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annmarie Wallace-Smith
• Diana Wallace
• Katherine Lee Wallace, LCSW
• Laura Wallace
• Letitia J Wallace, PMHNP-BC
• Morgan Lindsey Wallace
• Nancy V Wallace, NP
• Narquinta Lashay Wallace, LPN
• Rachel Wallace, PHD
• Rashika Nelson Wallace, MSW

• MOHS-Micrographic Surgery Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• MOHS-Micrographic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.