Dr. Tracy Wallace, MD

  • Gonzales, LA
  • Pediatrician
NPI1720306558
Industry payments
$2,228
Affiliated sites
1
Medical group
1
State license
1
Year NPI issued
2010
Practice address
1937 S Burnside Ave, Gonzales, LA 70737
Practice phone
Call (225) 765-7727
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Our Lady of the Lake Physician Group

Gonzales, Louisiana

See all 3 affiliations

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Dr. Tracy Wallace is a pediatrician in Gonzales, Louisiana

Dr. Wallace practices at Our Lady of the Lake Physician Group in Gonzales, Louisiana.

Dr. Wallace's NPI, 1720306558, was assigned on May 4, 2010. Dr. Wallace holds Louisiana license 204717.

NPI and contact details
NPI enumeration date
May 4, 2010
NPI status
Active
Practice phone
(225) 765-7727
Professional email
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Personal email
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Mobile number
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Sex
Female

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data

Dr. Tracy Wallace practices at Our Lady of the Lake Physician Group in Gonzales, Louisiana

Dr. Wallace's primary practice is Our Lady of the Lake Physician Group, at 1937 S Burnside Ave, Gonzales, LA 70737 in Ascension Parish. The practice phone is (225) 765-7727.

  • Our Lady of the Lake Physician Group
    1937 S Burnside Ave, Gonzales, LA 70737 · Ascension ParishPhone(225) 765-7727

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Tracy Wallace is affiliated with 2 sites of care and 1 medical group

Dr. Wallace's primary practice is Our Lady of the Lake Physician Group in Gonzales, Louisiana. The medical group on file is Our Lady of the Lake Physician Group. Dmand AI also links Dr. Wallace to 1 more group practice or clinic, named with a free account.

See all 3 affiliations for Dr. Wallace

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Tracy Wallace's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Wallace practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Our Lady of the Lake Physician GroupAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Tracy Wallace is one of 779 pediatricians in Louisiana

Pediatrics is Dr. Wallace's primary specialty in the NPI Registry, under taxonomy code 208000000X. Dr. Wallace is licensed in Louisiana.

Specialties and state licenses

  • Pediatrics, LouisianaPrimaryLicense 204717 · taxonomy 208000000X

Pediatricians near Dr. Wallace

Counts of pediatricians with a Dmand AI profile, by place and practice. Each opens the list.

779pediatricians in Louisiana
7pediatricians in Gonzales

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Tracy Wallace's patients have a median age of 9

Across all payers, Dmand AI patient panel data puts Dr. Wallace's median patient age at 9, with 49% women.

Dr. Wallace's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 9

Patient panel by sex, all payers

  • Women49%
  • Men51%

Source: Dmand AI Patient Panel Data

Dr. Tracy Wallace received $2,228 in industry payments from 2016 to 2025

CMS Open Payments shows 132 general payments to Dr. Wallace from 26 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. Corium, LLC paid the most, $294.

General payments to Dr. Wallace by program year, 2016 to 2025

Companies that paid Dr. Wallace the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Wallace

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Dr. Tracy Wallace's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Tracy Wallace

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Tracy Wallace's NPI number?

Dr. Tracy Wallace's NPI number is 1720306558. It was assigned on May 4, 2010, and it is active in the NPI Registry.

What kind of doctor is Dr. Tracy Wallace?

Dr. Tracy Wallace is a pediatrician in Gonzales, Louisiana. The primary specialty in the NPI Registry is Pediatrics Physician (taxonomy code 208000000X).

Where does Dr. Tracy Wallace practice?

Dr. Wallace practices at 1937 S Burnside Ave, Gonzales, LA 70737. Dr. Wallace's primary practice is Our Lady of the Lake Physician Group in Gonzales, Louisiana. Dmand AI also links Dr. Wallace to 1 group practice or clinic.

What is Dr. Tracy Wallace's office phone number?

The practice phone on file for Dr. Wallace is (225) 765-7727.

What is Dr. Tracy Wallace's medical license number?

Dr. Wallace holds Louisiana license 204717.

What medical group is Dr. Tracy Wallace part of?

Dr. Wallace is linked to Our Lady of the Lake Physician Group.

Has Dr. Tracy Wallace received payments from drug or device companies?

CMS Open Payments shows $2,228 in general payments to Dr. Wallace from 26 companies from 2016 to 2025. The largest total came from Corium, LLC.

How long has Dr. Tracy Wallace been practicing?

Dr. Wallace's NPI was assigned in 2010.

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