BRIAN ROBERT WALLACE (D.O.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1518118462
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,916 ORTHOPEDIC SURGERY in FL
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Provider Addresses for BRIAN ROBERT WALLACE (D.O.)
1250, Pine Ridge Road, Naples, Collier County, Florida, 34108, United States
SUITE 203
NAPLES, FL 341088913
Phone: (236) 261-2663
Fax: (239) 262-5633
Type: Location
3466 PINE RIDGE RD
STE A
NAPLES, FL 341093883
Phone: (239) 261-2663
Fax: (236) 262-5633
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 99 Open Payments records for all available years, with a total value of $16,108.
Total Amount is formed as General ($16,108) + Research ($0) + Ownership ($0) = $16,108.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Arthrex, Inc. ($16,100).
Total Amount
$16,108
General + Research + Ownership
Payments
99
Total payment records
General Amount
$16,108
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $16,100 |
| Kerecis Limited | $8 |
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: 2014-08-29
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 |
|---|---|---|---|---|
| I20140829000497 | I | Orthopedic Surgery | FL | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 3,309 | 261 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 631 | 337 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 468 | 303 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 395 | 236 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 114 | 114 | $0 |
Insurance plans in this area (ZIP 34108)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | FL | 20610 | Aspiration and/or injection of large joint or joint capsule | 141 | 117 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| Physician Assistant | FL | |
| Orthopedic Surgery | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| P O D I A T R Y | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL |
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