AUDREY WALLACE MD
NPI 1396185666
Radiology - Radiation Oncology in Ocala, FL

Active since July 01, 2013PECOS EnrolledAccepts Medicare Assignment
2020 SE 17TH ST, OCALA, FL 34471(352) 732-0277 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2025, Sep 27, 2018 (2 updates tracked since 2018).

About Audrey Wallace Md NPPES

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

AUDREY WALLACE MD (NPI 1396185666) is an individual radiation oncology provider in Ocala, Florida, licensed in Florida (ME136800) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bay Pines, and is a graduate of University Of Missouri, Columbia School Of Medicine (2013).

NPPES Registry Identity

NPI1396185666
Entity TypeIndividualFemale
Primary Taxonomy2085R0001X
Provider Legal NameAUDREY WALLACECredential: MD
Location Address2020 SE 17TH STOcala, FL 34471-4118
Mailing Address2020 Se 17th StOcala, FL 34471-4118 · (352) 732-0277
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2013
Enumeration DateJuly 1, 2013
Last NPPES UpdateMay 16, 20252 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
NPI 1396185666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses Licensed in FL · ME136800 Licensed in AL · 33689
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
2020 SE 17TH ST, Ocala, FL 34471

Secondary Practice Location 1

Location 110000 Bay Pines BlvdBay Pines, FL 33744-8200 · Phone (727) 398-9545

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

Audrey Wallace 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.

PECOS PAC ID6002108461
PECOS Enrollment IDI20250521003046
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 34471 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
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 6

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

Radiology (Radiation Oncology)
2020 SE 17TH ST
OCALA, FL 34471
Nurse Practitioner
2020 SE 17TH ST
OCALA, FL 34471
Specialist
2020 SE 17TH ST
OCALA, FL 34471
Radiology (Radiation Oncology)
2020 SE 17TH ST
OCALA, FL 34471
Radiology (Radiation Oncology)
2020 SE 17TH ST
OCALA, FL 34471
Radiology (Radiation Oncology)
2020 SE 17TH ST
OCALA, FL 34471

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 Audrey Wallace's NPI number?

The NPI number for Audrey Wallace is 1396185666. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Where is Audrey Wallace located?

Audrey Wallace practices at 2020 SE 17th St, Ocala, FL 34471. The listed phone number is (352) 732-0277.

What is Audrey Wallace's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Audrey Wallace enrolled in Medicare?

Yes. Audrey 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.

When was this NPI record last updated?

The NPPES record for Audrey Wallace was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.