Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Jason Wallace, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1902005747

Dr. Michael Jason Wallace, MD is an Orthopedic Surgery in Catonsville, Maryland. Graduated from University of South Carolina School of Medicine in 2002, 24 years ago. Practices with Centers for Advanced Orthopaedics LLC, a 598-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
24
Trained at
University of South Carolina School of Medicine
Licensed in
MD
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

910 Frederick Rd
Catonsville, MD 21228-4516
Phone: (410) 644-1880
Fax: (410) 646-3623
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence D0065277 (MD)

Record details

NPI number1902005747
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2007
Last updated in NPPESApril 4, 2022
Certification dateApril 4, 2022
Mailing address910 Frederick Rd, Catonsville, MD 21228-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Centers For Advanced Orthopaedics Llc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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