Kevin Bruce Wallace, D.M.D.
NPI 1316960131ActiveIndividual· Dentist· Leesburg, FL
Dentist (D.M.D.) in Leesburg, Florida, licensed in FL, with an NPI issued in July 2006. Part D covered 259 prescriptions written in 2024, 88% of them generic.
Overview
| NPI | 1316960131 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 25, 2006 |
| Last updated in NPPES | Nov 2, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DN15774 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 259 · 266 30-day fills |
|---|---|
| Patients | 199 |
| Total drug cost | $1,182 |
| Generic share | 88% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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