Tasha Wallace, D.O.
NPI 1396736997 · Family Medicine Physician · Fort Myers, FL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tasha Wallace, D.O. is a Family Medicine Physician provider in Fort Myers, FL (NPI 1396736997).
Provider details
- NPI number
- 1396736997
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- OS8622 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,512 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 733 | $129 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 327 | $90 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 159 | $129 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 127 | $17 |
| Urinalysis, Manual Test81002 | 42 | $3 |
| Removal of Impacted Ear Wax |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 177 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 470 | 117 |
| Atorvastatin Calcium | 461 | 135 |
| Amlodipine Besylate | 403 | 122 |
| Omeprazole | 282 | 82 |
| Lisinopril | 280 | 80 |
| Losartan Potassium | 277 | 85 |
| Metformin Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2024-08-27
- Certified
- 2024-08-27
Frequently asked questions
- What is Tasha Wallace's NPI number?
- Tasha Wallace's National Provider Identifier (NPI) is 1396736997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tasha Wallace's specialty?
- Tasha Wallace is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tasha Wallace located?
- Tasha Wallace's practice location on file with NPPES is 14651 Palm Beach Blvd Ste 100, Fort Myers, FL 33905-2331.
- What is Tasha Wallace's phone number?
- The practice phone number listed in the NPPES registry for Tasha Wallace is (239) 369-2903.
- Does Tasha Wallace accept Medicare?
- Tasha Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tasha Wallace's NPI active?
- Yes — Tasha Wallace's NPI (1396736997) is active in the NPPES registry as of the last update on 2024-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.