DR. KEVIN H WALLACE (MD) – Pulmonary Disease Physician, NPI 1033195631

DR. KEVIN H WALLACE (MD) is a healthcare provider. based in Rockledge, Florida. specializing in CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE, PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. ME81186 (FL). The NPI Number for DR. KEVIN H WALLACE (MD) is 1033195631

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN H WALLACE (MD)
NPI
1033195631
Phone
Not provided
Address
3300 S FISKE BLVD
Enumeration Date
16 December 2005
Last Update Date
26 August 2022

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3214348878
Graduation Year
1999 (27 years ago)
PAC ID
7416935697
Group Practice PAC ID
7416100672
Professional Enrollment ID
I20040713000913
Address ID
FL329013224ME1350XSTXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,454 CRITICAL CARE (INTENSIVISTS) in FL

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Provider Addresses for DR. KEVIN H WALLACE (MD)

  • Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States of America

    ROCKLEDGE, FL 329554306

    Phone:

    Type: Mailing

  • 1350, Hickory Street, Melbourne, Brevard County, Florida, 32901, United States

    MELBOURNE, FL 329013224

    Phone: (321) 434-4225

    Fax: (321) 434-4247

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040713000913ICritical Care (Intensivists)FLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes196101$0
99291Critical care, first 30-74 minutes14564$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3232$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 32955)

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Provider's Procedures

DR. KEVIN H WALLACE (MD) performs procedures in CRITICAL CARE (INTENSIVISTS). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CRITICAL CARE (INTENSIVISTS)FL94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration3636

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416100672View full group profile
NameSpecialtyState
-FL
General SurgeryFL
Internal MedicineFL
-FL
-FL
Physical Medicine And RehabilitationFL
Family PracticeFL
G A S T R O E N T E R O L O G YFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What identifier follows DR. KEVIN H WALLACE (MD) across health systems?
The NPI 1033195631 uniquely identifies DR. KEVIN H WALLACE (MD) in U.S. healthcare data.
Does the public listing show DR. KEVIN H WALLACE (MD) as active?
DR. KEVIN H WALLACE (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. KEVIN H WALLACE (MD)'s specialty?
The extract shows Pulmonary Disease Physician for DR. KEVIN H WALLACE (MD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. KEVIN H WALLACE (MD) in Rockledge, Florida?
For routing, start with Rockledge, Florida for DR. KEVIN H WALLACE (MD), then verify phone and hours locally.
Can I export DR. KEVIN H WALLACE (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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