DR. KENNETH A WALLACE III MD
NPI 1295791754
Dermatology - MOHS-Micrographic Surgery in Ocala, FL
About Dr. Kenneth A Wallace Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH A WALLACE III MD (NPI 1295791754) is an individual mohs-micrographic surgery provider in Ocala, Florida, licensed in Florida (ME73625) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 1
Accepted 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. Kenneth A Wallace Iii Md 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.
Medicare Billing Reassignments
5Medicare enrollment records show Kenneth Wallace reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Crystal River, FL 34429
- Reassigned Medicare billing, Florida enrollment
- 6 clinicians in this Medicare group
Orange City, FL 32763
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Skin Dermatology And Cosmetic Services PA
- 6 clinicians in this Medicare group
Port Richey, FL 34668
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Sms Do PA
- 28 clinicians in this Medicare group
Poinciana, FL 34759
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Nosky PA
- 13 clinicians in this Medicare group
Poinciana, FL 34759
- Reassigned Medicare billing, Florida enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 50
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34480 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kenneth Wallace's NPI number?
The NPI number for Kenneth Wallace is 1295791754. It was assigned to this individual provider in the NPPES registry on April 25, 2006. The provider is also known as Kenneth A Wallace M.D..
Where is Kenneth Wallace located?
Kenneth Wallace practices at 1091 SE 59th St, Ocala, FL 34480. The listed phone number is (850) 597-0324.
What is Kenneth Wallace's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.
Is Kenneth Wallace enrolled in Medicare?
Yes. Kenneth 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 Kenneth Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Wallace reassigns Medicare benefits to 5 organizations: Citrus Multi Care LLC (Crystal River, FL), Skin Dermatology And Cosmetic Services, P.A. (Orange City, FL), S M S Do PA (Port Richey, FL), Nosky P.A. (Poinciana, FL) and Pellis LLC (Poinciana, 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 Kenneth Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Wallace accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Kenneth 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.
When was this NPI record last updated?
The NPPES record for Kenneth Wallace was last updated on April 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.