DR. WALLACE KEITH AMMON MD
NPI 1871653345
Family Medicine in Hanover, PA
About Dr. Wallace Keith Ammon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WALLACE KEITH AMMON MD (NPI 1871653345) is an individual family medicine provider in Hanover, Pennsylvania, licensed in Pennsylvania (MD427608) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Hanover, and maintains a secondary practice location in York.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 7
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. Wallace Keith Ammon 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
2Medicare enrollment records show Wallace Ammon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hanover, PA 17331
- Reassigned Medicare billing, Pennsylvania enrollment
- 298 clinicians in this Medicare group
Harrisburg, PA 17101
- Reassigned Medicare billing, Pennsylvania enrollment
- 209 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Hanover
Acute Care Hospitals · Hanover, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17331 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.
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.
HANOVER, PA 17331
HANOVER, PA 17331
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 Ammon's NPI number?
The NPI number for Wallace Ammon is 1871653345. It was assigned to this individual provider in the NPPES registry on December 12, 2006.
Where is Wallace Ammon located?
Wallace Ammon practices at 300 Highland Ave, Hanover, PA 17331. The listed phone number is (717) 988-0000.
What is Wallace Ammon's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Wallace Ammon enrolled in Medicare?
Yes. Wallace Ammon 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 Wallace Ammon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wallace Ammon reassigns Medicare benefits to 2 organizations: Emergency Physician Associates Of Pennsylvania, PC (Hanover, PA) and Pinnacle Health Emergency Department Services LLC (Harrisburg, PA). 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 Wallace Ammon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Wallace Ammon affiliated with any hospitals?
According to CMS data, Wallace Ammon is affiliated with Upmc Hanover.
When was this NPI record last updated?
The NPPES record for Wallace Ammon was last updated on January 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Wallace Keith Ammon, MD · NPI 1871653345
Family Medicine physician in Hanover, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 12, 2006.
## Identity
- **NPI:** 1871653345 (Entity type: Individual)
- **Enumerated:** December 12, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD427608 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 HIGHLAND AVE, Hanover, PA 17331
- **Phone:** (717) 988-0000 · **Fax:** (717) 782-5716
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emergency Physician Associates Of Pennsylvania, PC (NPI 1619990900, Hanover, PA); Pinnacle Health Emergency Department Services LLC (NPI 1487693404, Harrisburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jc Edwards School Of Medicine, Marshall University, class of 2001
## Record status
- **NPPES last updated:** January 16, 2021
- **Other identifiers:** Other 891000 (MD); Other 103042 (PA); Other 1789885 (PA); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1871653345) · Data from the CMS NPPES public registry.