DR. JOHN K WALLACE (MD) – Ophthalmology Physician, NPI 1992735302
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
250 OPHTHALMOLOGY in AL
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Provider Addresses for DR. JOHN K WALLACE (MD)
2664, Hartford Highway, Tabernacle, Dothan, Houston County, Alabama, 36305, United States
DOTHAN, AL 363054904
Phone: (334) 699-2244
Fax: (334) 699-2245
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $342.
Total Amount is formed as General ($342) + Research ($0) + Ownership ($0) = $342.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($82).
Total Amount
$342
General + Research + Ownership
Payments
17
Total payment records
General Amount
$342
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-05-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040505001595 | I | Ophthalmology | FL | TBD |
| I20090507000063 | I | Ophthalmology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 265 | 243 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 186 | 136 | $0 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 121 | 105 | $0 |
| 92083 | Exam of visual field with extended testing | 113 | 101 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 98 | 98 | $0 |
Insurance plans in this area (ZIP 36305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | AL | |
| O P H T H A L M O L O G Y | AL |
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