MERVIN P WALLACE MD NPI 1346269883

NPI Information

  • NPI: 1346269883
  • Provider Name: MERVIN P WALLACE, MD
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1264 METROPOLITAN BLVD
    TALLAHASSEE, FL
    ZIP 32312
  • Phone: (850) 383-3471

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NPI Details

Mervin P Wallace, MD is a geriatric medicine family medicine in Tallahassee, FL with 23 years of experience. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Mervin P Wallace, MD NPI is 1346269883. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1264 METROPOLITAN BLVD
TALLAHASSEE, FL
ZIP 32312-536
Phone: (850) 383-3471

The NPI 1346269883 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.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Hemoglobin a1c level (HCPCS:83036)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Vitamin d-3 level (HCPCS:82306)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Uric acid level, blood (HCPCS:84550)
  • Iron level (HCPCS:83540)
  • Iron binding capacity (HCPCS:83550)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Urinalysis, manual test (HCPCS:81002)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Liver enzyme (sgot), level (HCPCS:84450)
  • Measurement c-reactive protein for detection of infection or inflammation (HCPCS:86140)
  • Thyroid hormone, t3 measurement, free (HCPCS:84481)
  • Ferritin (blood protein) level (HCPCS:82728)
  • Microscopic examination for white blood cells with manual cell count (HCPCS:85007)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Total protein level, urine (HCPCS:84156)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Automated urinalysis test (HCPCS:81003)
  • Kidney function blood test panel (HCPCS:80069)
  • Folic acid level, serum (HCPCS:82746)
  • Removal of impacted ear wax (HCPCS:69210)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Magnesium level (HCPCS:83735)
  • Administration of vaccine (HCPCS:90471)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
  • Red blood cell sedimentation rate, to detect inflammation, automated (HCPCS:85652)
  • Rheumatoid factor level (HCPCS:86431)
  • Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected (HCPCS:0241U)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 7/18/2006 and was last updated on 1/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME95779FLORIDANo
2207QG0300XFamily MedicineGeriatric MedicineME95779FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1276781300MEDICAIDFLORIDA
2P00964768OTHERFLORIDAMEDICARE RR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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