DR. ROBERT JENNINGS WALLACE (MD) – Family Medicine Physician, NPI 1821396151
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
6,723 FAMILY PRACTICE in FL
Provider Addresses for DR. ROBERT JENNINGS WALLACE (MD)
3000 1ST AVE N
ST PETERSBURG, FL 337138607
Phone: (727) 826-0700
Fax: (727) 954-6994
Type: Mailing
3600 CENTRAL AVE
ST PETERSBURG, FL 337111345
Phone: (727) 826-0700
Fax: (727) 954-6994
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 189 Open Payments records for all available years, with a total value of $18,354.
Total Amount is formed as General ($18,354) + Research ($0) + Ownership ($0) = $18,354.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($13,877).
Total Amount
$18,354
General + Research + Ownership
Payments
189
Total payment records
General Amount
$18,354
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $13,877 |
| ViiV Healthcare Company | $1,904 |
| Gilead Sciences, Inc. | $698 |
| AstraZeneca Pharmaceuticals LP | $608 |
| Merck Sharp & Dohme LLC | $182 |
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: 2012-11-21
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 |
|---|---|---|---|---|
| I20121121000454 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 282 | 85 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 185 | 78 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 64 | 40 | $0 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 26 | 26 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 33713)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | FL | |
| Nurse Practitioner | FL |
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