WALLACE MASON COMBS II MD
NPI 1437257532
Internal Medicine - Gastroenterology in Palm Coast, FL

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
60 MEMORIAL MEDICAL PKWY, PALM COAST, FL 32164(386) 586-2000 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wallace Mason Combs Ii Md NPPES

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

WALLACE MASON COMBS II MD (NPI 1437257532) is an individual gastroenterology provider in Palm Coast, Florida, licensed in Florida (ME55590) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Flagler, and is a graduate of Wright State University Boonshoft School Of Medicine (1988).

NPPES Registry Identity

NPI1437257532
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameWALLACE MASON COMBS IICredential: MD
Location Address60 MEMORIAL MEDICAL PKWYPalm Coast, FL 32164-5980
Mailing Address770 W Granada Blvd Ste 101Ormond Beach, FL 32174-5179
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1988
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1437257532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · ME55590
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
60 MEMORIAL MEDICAL PKWY, Palm Coast, FL 32164

Accepted Insurance

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

Wallace Mason Combs Ii 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 ID1153490750
PECOS Enrollment IDI20080522000319
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 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
232 services188 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
176 services137 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
101 services100 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.
68 services68 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
60 services60 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
52 services52 patients

Hospital Affiliations CMS Care Compare 2

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

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32164 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

Radiology (Diagnostic Radiology)
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Psychiatry & Neurology (Neurology)
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Emergency Medicine
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Emergency Medicine
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Physician Assistant
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Emergency Medicine
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Dietitian, Registered
60 MEMORIAL MEDICAL PKWY, FOOD AND NUTRITION DEPARTMENT
PALM COAST, FL 32164
Nurse Practitioner
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164

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 Wallace Combs's NPI number?

The NPI number for Wallace Combs is 1437257532. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Wallace Combs located?

Wallace Combs practices at 60 Memorial Medical Pkwy, Palm Coast, FL 32164. The listed phone number is (386) 586-2000.

What is Wallace Combs's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Wallace Combs enrolled in Medicare?

Yes. Wallace Combs 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.

What insurance does Wallace Combs accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and Oscar Health Maintenance Organization of Florida list Wallace Combs 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 Wallace Combs affiliated with any hospitals?

According to CMS data, Wallace Combs is affiliated with Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Wallace Combs was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.