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DR. LYDIA VALLADARES WALLACE D.O.
NPI 1215139381
Family Medicine in Inverness, FL

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
131 S CITRUS AVE, INVERNESS, FL 34452(352) 344-6930(352) 344-4955 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lydia Valladares Wallace D.o. NPPES

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

DR. LYDIA VALLADARES WALLACE D.O. (NPI 1215139381) is an individual family medicine provider in Inverness, Florida, licensed in Florida (OS 10688) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital Crystal River, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1215139381
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LYDIA VALLADARES WALLACECredential: D.O.
Location Address131 S CITRUS AVEInverness, FL 34452-4701
Mailing Address131 S Citrus AveInverness, FL 34452-4701 · (352) 344-6930 · Fax (352) 344-4955
Phone(352) 344-6930
Fax(352) 344-4955
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 1, 2007
Last NPPES UpdateJanuary 11, 2017
✔ NPI 1215139381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS 10688
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License OS 10688 (FL)
131 S CITRUS AVE, Inverness, FL 34452
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Other Identifiers 4

Medicare PINCX001XFL
Medicare PINBJ846FL
Medicaid006676100FL
Medicaid001933100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lydia Valladares Wallace D.o. 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 ID3072649136
PECOS Enrollment IDI20100327000329
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Lydia Wallace reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Florida Medical Associates, PA
5.3 mi
Family Medicine
2669 N FLORIDA AVE
Hernando, FL 34442
  • Reassigned Medicare billing, Florida enrollment
  • 64 clinicians in this Medicare group
NPI 1851547285 (352) 637-2550
Nature Coast Geriatric Services LLC
10 mi
Family Medicine
3404 N LECANTO HWY STE C
Beverly Hills, FL 34465
  • Reassigned Medicare billing, Florida enrollment
  • 41 clinicians in this Medicare group
NPI 1417340654 (352) 746-1558
Pasadena Center For Asthma & Lung Disorders LLC
77 mi
Pulmonary Disease
5454 CENTRAL AVE STE A
Saint Petersburg, FL 33707
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
NPI 1396981635 (727) 347-5242
MD Now Medical Centers Inc
200 mi
Urgent Care
2007 PALM BEACH LAKES BLVD
West Palm Beach, FL 33409
  • Reassigned Medicare billing, Florida enrollment
  • 373 clinicians in this Medicare group
NPI 1033195474 (561) 420-8555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Tampa General Hospital Crystal River

Acute Care Hospitals · Crystal River, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100249
Location6201 N Suncoast BlvdCrystal River, FL 34428 · Citrus County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34452 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
77%268 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
73%483 patients4/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfStart: 22% · 112 patients
15%124 patients
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
90%122 patients4/55-star benchmark: 99%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%2,000 patients3/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
98%429 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
37%439 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%98 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
61%484 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
70%435 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
93%812 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
89%354 patients5/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
83%661 patients4/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%484 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%484 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
15%484 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

P KENNETH NEWMAN MD PA
Anesthesiology
131 S CITRUS AVE
INVERNESS, FL 34452
Citrus County (352) 344-5201
TODD F SISTO M.D.
Specialist
131 S CITRUS AVE, SUITE 307
INVERNESS, FL 34452
Citrus County (352) 344-9400
MS. KAREN MARIE NIERADKA P.A.-C
Physician Assistant
131 S CITRUS AVE
INVERNESS, FL 34452
Citrus County (813) 997-4219
DR. MICHAEL R LAMARCHE DO
Internal Medicine
131 S CITRUS AVE
INVERNESS, FL 34452
Citrus County (352) 344-6481
CITRUS MEMORIAL HEALTH FOUNDATION INC
Family Medicine
131 S CITRUS AVE
INVERNESS, FL 34452
Citrus County (352) 344-6930
DR. FARHAAD CYRUS GOLKAR M.D.
Surgery
131 S CITRUS AVE, STE 300
INVERNESS, FL 34452
Citrus County (352) 341-6000
STEPHEN PAUL JOHNSON CRNA
Nurse Anesthetist, Certified Registered
131 S CITRUS AVE
INVERNESS, FL 34452
Citrus County (352) 344-5201
MRS. MAUREEN AUDREY HOYE ARNP
Nurse Practitioner (Family)
131 S CITRUS AVE
INVERNESS, FL 34452
Citrus County (352) 344-6930

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 Lydia Wallace's NPI number?

The NPI number for Lydia Wallace is 1215139381. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Lydia Wallace located?

Lydia Wallace practices at 131 S Citrus Ave, Inverness, FL 34452. The listed phone number is (352) 344-6930.

What is Lydia Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lydia Wallace enrolled in Medicare?

Yes. Lydia Wallace 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.

Which organizations bill Medicare for Lydia Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Wallace reassigns Medicare benefits to 4 organizations: West Florida Medical Associates, PA (Hernando, FL), Nature Coast Geriatric Services LLC (Beverly Hills, FL), Pasadena Center For Asthma & Lung Disorders LLC (Saint Petersburg, FL) and MD Now Medical Centers Inc (West Palm Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lydia Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lydia Wallace accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lydia Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lydia Wallace affiliated with any hospitals?

According to CMS data, Lydia Wallace is affiliated with Tampa General Hospital Crystal River.

When was this NPI record last updated?

The NPPES record for Lydia Wallace was last updated on January 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.