DR. KENNETH A WALLACE MD NPI 1295791754

NPI Details

DR. Kenneth A Wallace, MD is a mohs-micrographic surgery dermatology in Ocala, FL with 37 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DR. Kenneth A Wallace, MD NPI is 1295791754. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

1091 SE 59TH ST
OCALA, FL
ZIP 34480-146
Phone: (850) 597-0324

The NPI 1295791754 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Superficial and/or low voltage radiation treatment delivery (HCPCS:77401)
• Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
• Ultrasonic guidance for placement of radiation therapy fields (HCPCS:G6001)
• Puraply xt, per square centimeter (HCPCS:Q4197)
• Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Biopsy of related skin growth, first growth (HCPCS:11102)
• Biopsy of related skin growth, each additional growth (HCPCS:11103)
• Calculation of radiation therapy dose (HCPCS:77300)
• Destruction of precancer skin growth, 1 growth (HCPCS:17000)
• Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
• Destruction of skin growth, 1-14 growths (HCPCS:17110)
• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• Radiation treatment management, 5 treatment sessions (HCPCS:77427)
• Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
• Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
• Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
• New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
• Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
• Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
• Simple radiation therapy planning (HCPCS:77261)
• Design and construction of simple radiation treatment device (HCPCS:77332)
• Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
• Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
• Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15275)
• Injection into skin growth, 1-7 growths (HCPCS:11900)
• Biopsy of ear (HCPCS:69100)
• Destruction of skin growth, 15 or more growths (HCPCS:17111)
• Design and construction of complex radiation treatment device (HCPCS:77334)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11642)
• Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks (HCPCS:17314)
• Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less (HCPCS:17270)
• Punch biopsy, first skin growth (HCPCS:11104)
• Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11401)
• Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11622)
• Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 4/25/2006 and was last updated on 4/2/2020.

Taxonomy Codes

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Other Identifiers

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