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SCOTT ANDREW WALLACE M.D.
NPI 1275809899
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Annapolis, MD

Active since March 28, 2012PECOS Enrolled
695 KINKAID RD, ANNAPOLIS, MD 21402(410) 320-0010 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2024, Aug 21, 2023 (2 updates tracked since 2023).

About Scott Andrew Wallace M.d. NPPES

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

SCOTT ANDREW WALLACE M.D. (NPI 1275809899) is an individual preventive medicine/occupational environmental medicine provider in Annapolis, Maryland, licensed in Maryland (D76451) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275809899
Entity TypeIndividualMale
Primary Taxonomy2083P0500X
Provider Legal NameSCOTT ANDREW WALLACECredential: M.D.
Location Address695 KINKAID RDAnnapolis, MD 21402-1006
Mailing Address8901 Wisconsin Ave Bldg 85tBethesda, MD 20889-0004 · (301) 295-0786
Phone(410) 320-0010
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 28, 2012
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1275809899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
License✔ Licensed in MD · D76451
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License D0076451 (MD)
695 KINKAID RD, Annapolis, MD 21402
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Andrew Wallace M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335379957
PECOS Enrollment IDI20260124000397
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21402 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 20

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

KIARA VOGEL PSY.D.
Psychologist
695 KINKAID RD
ANNAPOLIS, MD 21402
Anne Arundel County (410) 293-2273
DR. DAVID A BYMAN O.D.
Optometrist
695 KINKAID RD
ANNAPOLIS, MD 21402
Anne Arundel County (410) 293-3617
AMY A PALMER RDH
Dental Hygienist
695 KINKAID RD
ANNAPOLIS, MD 21402
Anne Arundel County (410) 293-3902
DR. ELIZABETH C MCMUNN O.D.
Optometrist
695 KINKAID RD
ANNAPOLIS, MD 21402
Anne Arundel County (410) 293-4378
DR. CHRISTOPHER MICHAEL HAMLIN DMD
Dentist (Prosthodontics)
695 KINKAID RD
ANNAPOLIS, MD 21402
Anne Arundel County (240) 676-7053
BRETT WINDISH IDC
Military Health Care Provider (Independent Duty Corpsman)
695 KINKAID RD
ANNAPOLIS, MD 21402
Anne Arundel County (760) 382-8592
HANNAH GRACE MELCHNER
Physical Therapy Assistant
695 KINKAID RD
ANNAPOLIS, MD 21402
Anne Arundel County (410) 293-7907
DR. EMILY ALYSSE ESTRADA PH.D.
Psychologist
695 KINKAID RD
ANNAPOLIS, MD 21402
Anne Arundel County (410) 293-1197

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 Scott Wallace's NPI number?

The NPI number for Scott Wallace is 1275809899. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Where is Scott Wallace located?

Scott Wallace practices at 695 Kinkaid Rd, Annapolis, MD 21402. The listed phone number is (410) 320-0010.

What is Scott Wallace's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Is Scott Wallace enrolled in Medicare?

Yes. Scott Wallace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Scott Wallace was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.