DR. RICHARD PETERKIN WALLACE M.D.
NPI 1275586448
Family Medicine in Clearwater, FL

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
1001 S FORT HARRISON AVE, SUITE 101, CLEARWATER, FL 33756(727) 441-5044(727) 441-5008 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Richard Peterkin Wallace M.d. NPPES

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

DR. RICHARD PETERKIN WALLACE M.D. (NPI 1275586448) is an individual family medicine provider in Clearwater, Florida, licensed in Florida (ME85690) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (2000).

NPPES Registry Identity

NPI1275586448
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RICHARD PETERKIN WALLACECredential: M.D.
Location Address1001 S FORT HARRISON AVE, SUITE 101Clearwater, FL 33756-3941
Mailing Address1001 S Fort Harrison Ave, Suite 101Clearwater, FL 33756-3905 · (727) 441-5044 · Fax (727) 441-5008
Fax(727) 441-5008
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2000
Enumeration DateMay 18, 2006
Last NPPES UpdateSeptember 27, 2016
NPI 1275586448 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 · ME85690
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 ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License ME85690 (FL)
1001 S FORT HARRISON AVE, Clearwater, FL 33756

Other Identifiers 4

Medicaid270183900FL
OtherP00294408FL · Railroad Medicare Number
Medicare UPINH97959
Medicare PIN81430FL

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

Dr. Richard Peterkin Wallace M.d. 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 ID2062315575
PECOS Enrollment IDI20040131000044
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
128 services114 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services73 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
61 services52 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
57 services57 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
27 services26 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33756 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.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Urgent Care)
1001 S FORT HARRISON AVE, SUITE 101
CLEARWATER, FL 33756
General Practice
1001 S FORT HARRISON AVE, SUITE 200
CLEARWATER, FL 33756

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275586448, enumerated as an "individual" on May 18, 2006.

The provider is located at 1001 S FORT HARRISON AVE SUITE 101 CLEARWATER, FL 33756 and the phone number is (727) 441-5044.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.