DR. WALLACE THOMAS (M.D.) – Pulmonary Disease Physician, NPI 1831490432

DR. WALLACE THOMAS (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in PULMONARY DISEASE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 308521 (NY). The NPI Number for DR. WALLACE THOMAS (M.D.) is 1831490432

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. WALLACE THOMAS (M.D.)
NPI
1831490432
Phone
(561) 201-3234
Address
1701 SAN PABLO RD S
Enumeration Date
12 November 2010
Last Update Date
6 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862316000
Graduation Year
2006 (20 years ago)
PAC ID
1052607108
Group Practice PAC ID
7012266836
Professional Enrollment ID
I20161229000763
Address ID
FL321175167DA301XXPKWY400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:15State licenses:2Digital endpointsOther names

1,173 PULMONARY DISEASE in FL

Provider Addresses for DR. WALLACE THOMAS (M.D.)

  • 1701 SAN PABLO RD S

    1213

    JACKSONVILLE, FL 322242088

    Phone: (561) 201-3234

    Type: Mailing

  • 300 Executive Center Dr

    West Palm Beach, FL 334014842

    Phone: (561) 201-3234

    Type: Location

  • 10936 NW 41ST DR

    CORAL SPRINGS, FL 330657762

    Phone: (561) 201-3234

    Fax: (320) 238-7353

    Type: Mailing

  • 305 MEMORIAL MEDICAL PKWY STE 307

    DAYTONA BEACH, FL 321175169

    Phone: (386) 231-4351

    Fax: (386) 231-3517

    Type: Location

  • 2784 SW 129TH TER

    MIRAMAR, FL 330273852

    Phone: (561) 201-3234

    Type: Mailing

  • 300 EXECUTIVE CENTER DR

    WEST PALM BEACH, FL 334014842

    Phone: (561) 201-3234

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $4,547.

Total Amount is formed as General ($4,547) + Research ($0) + Ownership ($0) = $4,547.

Last reported payment date: 2024-10-19 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($2,420).

Total Amount

$4,547

General + Research + Ownership

Payments

27

Total payment records

General Amount

$4,547

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-19

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: 2024-05-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20160915002109IInternal MedicineALTBD
I20161213001601IHospitalistTXTBD
I20161229000763IPulmonary DiseaseFLTBD
I20240531003268IHospitalistNYTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes17815$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes15016$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7841$0
99239Hospital discharge day management, more than 30 minutes1616$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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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: 7012266836View full group profile
NameSpecialtyState
-FL
U R O L O G YFL
G A S T R O E N T E R O L O G YFL
Thoracic SurgeryFL
Nurse PractitionerGA
Internal MedicineNY
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineFL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Can I verify DR. WALLACE THOMAS (M.D.) with an NPI only?
You can start verification with NPI 1831490432 for DR. WALLACE THOMAS (M.D.), then check state licensing separately.
Does the file indicate DR. WALLACE THOMAS (M.D.) is practicing under active NPI?
Directory data currently reports DR. WALLACE THOMAS (M.D.) as active.
What is DR. WALLACE THOMAS (M.D.)'s primary classification?
Pulmonary Disease Physician is the headline specialty for DR. WALLACE THOMAS (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. WALLACE THOMAS (M.D.) on a map?
Expect Jacksonville, Florida as a primary anchor for DR. WALLACE THOMAS (M.D.) unless the record lists multiple sites.
Is the information about DR. WALLACE THOMAS (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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