Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lydia Wallace

Individual provider Emergency Medicine Physician · NPI 1417344581

Lydia Wallace practises Emergency Medicine in Brockton, Massachusetts. Graduated from Tufts University School of Medicine in 2015, 11 years ago. Practices with Emergency Staffing Solutions Inc, a 58-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and New Mexico.

Years since qualifying
11
Trained at
Tufts University School of Medicine
Licensed in
MA, NM
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

235 N Pearl St
Brockton, MA 02301-1794
Phone: (617) 414-5405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 145 Harrison Ave, Boston, MA 02111-1802 — (161) 763-6656
  • 101 Hospital Loop Ne, Albuquerque, NM 87109-2129 — (615) 928-6268

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 1024211 (MA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD2019-0840 (NM)

Record details

NPI number1417344581
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 16, 2015
Last updated in NPPESAugust 2, 2025
Certification dateAugust 2, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Emergency Staffing Solutions Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients232
Services billed 254 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Emergency Staffing Solutions Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 58 clinicians in the practice; 12 are shown here.

Other providers in Brockton