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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GARY RHETT WALLACE M.D., FAAFP
NPI 1962484634
Family Medicine in Fort Bragg, NC

Active since November 17, 2005PECOS Enrolled
BLDG 5-4257, BASTOGNE EXTENSION, FORT BRAGG, NC 28310(910) 907-9560(910) 907-9818 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gary Rhett Wallace M.d., Faafp NPPES

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

DR. GARY RHETT WALLACE M.D., FAAFP (NPI 1962484634) is an individual family medicine provider in Fort Bragg, North Carolina, licensed in Texas (J8821) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962484634
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GARY RHETT WALLACECredential: M.D., FAAFP
Location AddressBLDG 5-4257, BASTOGNE EXTENSIONFort Bragg, NC 28310-0001
Mailing Address2817 Reilly Rd, Womack Army Medical CenterFort Bragg, NC 28310-7324 · (910) 907-8922 · Fax (910) 907-6069
Phone(910) 907-9560
Fax(910) 907-9818
Sole ProprietorNo
Enumeration DateNovember 17, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1962484634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · J8821
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.
BLDG 5-4257, Fort Bragg, NC 28310
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary Rhett Wallace M.d., Faafp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 28310 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES

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

DR. JOHN PRESTON LAY JR. M.D.
Family Medicine
BLDG 5-4257, BASTOGNE STREET EXTENSION
FORT BRAGG, NC 28310
Cumberland County (910) 907-2575

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 Gary Wallace's NPI number?

The NPI number for Gary Wallace is 1962484634. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Gary Wallace located?

Gary Wallace practices at Bldg 5-4257 Bastogne Extension, Fort Bragg, NC 28310. The listed phone number is (910) 907-9560.

What is Gary Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gary Wallace enrolled in Medicare?

Yes. Gary Wallace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Wallace was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.