DR. WALLACE KEITH AMMON MD
NPI 1871653345
Family Medicine in Hanover, PA

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
92.3/100
CMS Quality Rating
300 HIGHLAND AVE, HANOVER, PA 17331(717) 988-0000(717) 782-5716 Get Directions Write a Review

NPPES record last updated: January 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2021, Oct 9, 2019 (2 updates tracked since 2019).

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

NPI1871653345
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WALLACE KEITH AMMONCredential: MD
Location Address300 HIGHLAND AVEHanover, PA 17331
Mailing Address300 Highland AveHanover, PA 17331-2297 · (717) 988-0000 · Fax (717) 782-5716
Fax(717) 782-5716
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2001
Enumeration DateDecember 12, 2006
Last NPPES UpdateJanuary 16, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2021
NPI 1871653345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD427608
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 HIGHLAND AVE, Hanover, PA 17331

Secondary Practice Location 1

Location 1103 Governors Pl At WaterfYork, PA 17402-9194 · Phone (717) 755-0455

Other Identifiers 7

Other891000MD · Carefirst Md Bcbs
Other103042PA · Johns Hopkins
Other1789885PA · Highmark Blue Shield
Other2626996000PA · Amerihealth 65 Pa
Other100434PA · Geisinger
Medicaid101445370PA
Other7107935PA · Aetna

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

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.

PECOS PAC ID3678522679
PECOS Enrollment IDI20060320000697
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
204 services200 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
65 services64 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
60 services59 patients

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, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

92.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Improvement Activities40
Cost100

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.

Clinical Medical Laboratory
300 HIGHLAND AVE
HANOVER, PA 17331
Emergency Medicine
300 HIGHLAND AVE
HANOVER, PA 17331
Emergency Medicine
300 HIGHLAND AVE
HANOVER, PA 17331
Specialist/Technologist Cardiovascular (Cardiovascular Invasive Specialist)
300 HIGHLAND AVE
HANOVER, PA 17331
Nurse Anesthetist, Certified Registered
300 HIGHLAND AVE
HANOVER, PA 17331
Emergency Medicine
300 HIGHLAND AVE
HANOVER, PA 17331
Pediatrics
300 HIGHLAND AVE
HANOVER, PA 17331
Internal Medicine
300 HIGHLAND AVE
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.

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.