MAX JOSEPH WALLACK
NPI 1043839814
Radiology - Diagnostic Radiology in Jacksonville, FL

Active since April 13, 2020PECOS EnrolledAccepts Medicare Assignment
655 W 8TH ST, JACKSONVILLE, FL 32209(774) 270-0554 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Max Joseph Wallack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAX JOSEPH WALLACK (NPI 1043839814) is an individual diagnostic radiology provider in Jacksonville, Florida, licensed in Florida (ME176656) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043839814
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMAX JOSEPH WALLACK
Location Address655 W 8TH STJacksonville, FL 32209-6511
Mailing Address3580 Pall Mall Dr Apt 2604Jacksonville, FL 32257-5486 · (774) 270-0554
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 13, 2020
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
NPI 1043839814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in FL · ME176656
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

655 W 8TH ST, Jacksonville, FL 32209

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Max Joseph Wallack is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204333651
PECOS Enrollment IDI20251009004964
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
655 W 8TH ST
JACKSONVILLE, FL 32209
Pediatrics (Neonatal-Perinatal Medicine)
655 W 8TH ST
JACKSONVILLE, FL 32209
Physical Therapist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Student in an Organized Health Care Education/Training Program
655 W 8TH ST
JACKSONVILLE, FL 32209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Max Wallack's NPI number?

The NPI number for Max Wallack is 1043839814. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Max Wallack located?

Max Wallack practices at 655 W 8th St, Jacksonville, FL 32209. The listed phone number is (774) 270-0554.

What is Max Wallack's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Max Wallack enrolled in Medicare?

Yes. Max Wallack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Max Wallack affiliated with any hospitals?

According to CMS data, Max Wallack is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Max Wallack was last updated on October 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.