MR. WALLACE MANN (MD) – Family Medicine Physician, NPI 1326036856

MR. WALLACE MANN (MD) is a healthcare provider. based in Borger, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. K6771 (TX). The NPI Number for MR. WALLACE MANN (MD) is 1326036856

Main info

Male
29 Years Of Experience
Name
MR. WALLACE MANN (MD)
NPI
1326036856
Phone
(806) 273-7118
Address
202 S MCGEE ST
Enumeration Date
10 October 2005
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
8064675804
Graduation Year
1997 (29 years ago)
PAC ID
6507923620
Group Practice PAC ID
0042303232
Professional Enrollment ID
I20090317000392
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for MR. WALLACE MANN (MD)

  • South McGee Street, Borger, Hutchinson County, Texas, 79007, United States

    BORGER, TX 790074022

    Phone: (806) 273-7118

    Fax: (806) 274-6070

    Type: Mailing

  • 202, South McGee Street, Borger, Hutchinson County, Texas, 79007, United States

    BORGER, TX 790074022

    Phone: (806) 273-7118

    Fax: (806) 274-6070

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-03-17

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
I20090317000392IFamily PracticeTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes232130$0
36415Insertion of needle into vein for collection of blood sample125105$0
J0696Injection, ceftriaxone sodium, per 250 mg11620$0
G0442Annual alcohol misuse screening, 5 to 15 minutes103103$0
99497Advance care planning, first 30 minutes102102$0
View full utilization report →

Insurance plans in this area (ZIP 79007)

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Provider's Procedures

MR. WALLACE MANN (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX81002Urinalysis, manual test3130

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: 0042303232View full group profile
NameSpecialtyState
Nurse PractitionerTX
General SurgeryTX
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
-TX
-TX
-TX

Reviews

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Frequently asked questions

What NPI should I save for MR. WALLACE MANN (MD)?
Save NPI 1326036856 if you need a stable reference for MR. WALLACE MANN (MD).
Is MR. WALLACE MANN (MD)'s NPI currently valid?
The extract we use shows MR. WALLACE MANN (MD) as active.
What field does MR. WALLACE MANN (MD) work in?
You can think of MR. WALLACE MANN (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MR. WALLACE MANN (MD)?
The snapshot lists Borger, Texas for MR. WALLACE MANN (MD); download NPPES for the complete set.
Is MR. WALLACE MANN (MD) a real provider?
This page reflects official NPPES data for NPI 1326036856. Always confirm identity and privileges with the practice and licensing boards.

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