DR. AUSTIN WILLIAM WALLACE – Orthopaedic Trauma Physician, NPI 1063901023
Orthopaedic Trauma Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,916 ORTHOPEDIC SURGERY in FL
Provider Addresses for DR. AUSTIN WILLIAM WALLACE
3450 Hull Rd
Gainesville, FL 326074144
Phone: (352) 273-7001
Type: Location
1600 SW Archer Rd
Gainesville, FL 326104144
Phone: (352) 273-7002
Fax: (352) 273-7388
Type: Location
3450 HULL RD RM 3341
GAINESVILLE, FL 326074144
Phone:
Type: Mailing
UF Orthopaedics & Sports Medicine Institute, 3450, Hull Road, Gainesville, Alachua County, Florida, 32611, United States
GAINESVILLE, FL 326074144
Phone: (352) 273-7001
Type: Location
210 E DERENNE AVE
SAVANNAH, GA 314056736
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $3,879.
Total Amount is formed as General ($3,879) + Research ($0) + Ownership ($0) = $3,879.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ORTHO DEVELOPMENT CORPORATION ($2,365).
Total Amount
$3,879
General + Research + Ownership
Payments
13
Total payment records
General Amount
$3,879
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ORTHO DEVELOPMENT CORPORATION | $2,365 |
| Stryker Corporation | $1,187 |
| IlluminOss Medical, Inc. | $230 |
| DePuy Synthes Sales Inc. | $97 |
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: 2025-01-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250115002719 | I | Orthopedic Surgery | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32607)
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