DR. TEDDY WALLACE JR. BROWN (MD) – Otolaryngology Physician, NPI 1588640015

DR. TEDDY WALLACE JR. BROWN (MD) is a healthcare provider. based in Tampa, Florida. specializing in OTOLARYNGOLOGY, MAXILLOFACIAL SURGERY. They hold the professional credentials MD. They hold a License No. TP896 (KY). The NPI Number for DR. TEDDY WALLACE JR. BROWN (MD) is 1588640015

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. TEDDY WALLACE JR. BROWN (MD)
NPI
1588640015
Phone
(813) 571-7184
Address
10002 PRINCESS PALM AVE STE 332
Enumeration Date
16 December 2005
Last Update Date
4 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7278610678
Graduation Year
1984 (42 years ago)
PAC ID
0244367316
Group Practice PAC ID
8224113527
Professional Enrollment ID
I20101115000982
Address ID
FL346677130HU13910RDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

732 OTOLARYNGOLOGY in FL

Provider Addresses for DR. TEDDY WALLACE JR. BROWN (MD)

  • 10002 PRINCESS PALM AVE STE 332

    TAMPA, FL 336198327

    Phone: (813) 571-7184

    Fax: (813) 654-4695

    Type: Mailing

  • 4714 N Armenia Ave Ste 200

    Tampa, FL 336032603

    Phone: (813) 872-8794

    Fax: (813) 879-1652

    Type: Location

  • 1818 Short Branch Dr Ste 103

    Trinity, FL 346554425

    Phone: (352) 688-0800

    Fax: (352) 688-0468

    Type: Location

  • 911 By Pass Road

    Clinic 9

    Pikeville, KY 415011689

    Phone: (606) 218-3500

    Fax: (606) 218-4562

    Type: Location

  • 4655, Keysville Avenue, Willow Sink, Spring Hill, Hernando County, Florida, 34608, United States

    SPRING HILL, FL 346083516

    Phone: (352) 688-0800

    Fax: (352) 688-0468

    Type: Location

  • 13910 FIVAY ROAD SUITE 12

    HUDSON, FL 34667

    Phone: (727) 861-0678

    Fax: (727) 861-0679

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2023-08-09 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($19).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-11-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101115000982IOtolaryngologyFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes217133$0
99204New patient office or other outpatient visit, 45-59 minutes151151$0
99213Established patient office or other outpatient visit, 20-29 minutes137109$0
99203New patient office or other outpatient visit, 30-44 minutes108108$0
69210Removal of impacted ear wax9267$0
View full utilization report →

Insurance plans in this area (ZIP 33619)

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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: 8224113527View full group profile
NameSpecialtyState
General Surgery, Vascular SurgeryFL
Nurse PractitionerFL
General SurgeryFL
General SurgeryFL
General SurgeryFL
Physician AssistantFL
General Surgery, Vascular SurgeryFL
-FL
General SurgeryFL
General SurgeryFL

Reviews

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Frequently asked questions

Can I verify DR. TEDDY WALLACE JR. BROWN (MD) with an NPI only?
You can start verification with NPI 1588640015 for DR. TEDDY WALLACE JR. BROWN (MD), then check state licensing separately.
Is DR. TEDDY WALLACE JR. BROWN (MD) listed as active for patients and plans?
The listing shows DR. TEDDY WALLACE JR. BROWN (MD) as active in the NPI system.
What is DR. TEDDY WALLACE JR. BROWN (MD)'s primary classification?
Otolaryngology Physician is the headline specialty for DR. TEDDY WALLACE JR. BROWN (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. TEDDY WALLACE JR. BROWN (MD) serve?
DR. TEDDY WALLACE JR. BROWN (MD)'s listing highlights Tampa, Florida; more addresses can appear in NPPES.
Is the information about DR. TEDDY WALLACE JR. BROWN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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