Active NPI 1295791754 Individual Practitioner Male Practitioner

Dr. Kenneth A Wallace , MD

Dermatology - MOHS-Micrographic Surgery • Ocala, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Wallace, MD is a certified Dermatology - MOHS-Micrographic Surgery practicing in Ocala, FL. With approximately 37 years of clinical experience since graduating from Wayne State University School Of Medicine in 1989, Dr. Wallace delivers high-quality medical care to the local community at 1091 SE 59TH ST.

Dr. Wallace maintains professional affiliations with Nosky Pa, Citrus Multi Care Llc, Skin Dermatology And Cosmetic Services Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include aminolevulinic acid hcl for topical administration, 10% gel, 10 mg, ultrasonic guidance for placement of radiation therapy fields, obtaining data needed to develop the optimal radiation treatment, 1 treatment area. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1091 Se 59th St

Ocala, FL 344806146

Telephone 8505970324

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology - MOHS-Micrographic Surgery in Ocala, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +9.7 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 22.4 Yrs

Regional Practice Density

3 Specialists

Practicing in Ocala, FL (163 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

20.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (37 Years) 37 Yrs

Ocala Specialty Average (27.3 Years) 27.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	8,800	27	$4.00	$1.65
G6001 Ultrasonic guidance for placement of radiation therapy fields	4,783	236	$249.83	$168.94
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	3,861	215	$385.94	$253.83
77401 Radiation treatment delivery, superficial	3,695	220	$54.78	$39.26
Q4295 Amnio tri-core amniotic, per square centimeter	1,322	66	$2076.83	$1989.42
17003 Destruction of precancer skin growth, 2-14 growths	1,061	228	$6.95	$6.40
99213 Established patient office or other outpatient visit, typically 15 minutes	1,004	541	$99.23	$90.48
77300 Calculation of radiation therapy dose	938	217	$77.17	$64.13
11103 Biopsy of related skin growth, each additional growth	935	312	$53.33	$49.14
Q4282 Cygnus dual, per square centimeter	866	28	$1392.51	$883.85
77285 Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas	652	79	$409.79	$376.88
11102 Tangential biopsy of single skin lesion	580	449	$106.24	$91.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	548	339	$62.67	$56.07
77427 Radiation treatment management, 5 treatments	503	130	$337.18	$186.73
Q4274 Esano ac, per square centimeter	482	24	$1680.00	$1494.94
17000 Destruction of skin growth	474	339	$72.43	$46.05
Q4290 Membrane wrap-hydro, per square centimeter	263	16	$2000.00	$1875.01
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	261	186	$727.11	$644.16
77336 Continuing radiation therapy consultation per week	228	70	$93.45	$86.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	224	188	$138.51	$127.38
77261 Simple radiation therapy planning	191	145	$120.35	$67.87
15275 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	187	88	$170.96	$120.34
77334 Design and construction of complex radiation treatment device	186	137	$190.90	$118.01
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	166	105	$439.45	$405.08
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	113	90	$505.13	$273.97
17110 Destruction of up to 14 skin growths	107	97	$120.31	$107.09
77290 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	96	17	$725.06	$415.08
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	89	73	$455.79	$327.64
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	88	42	$166.56	$114.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	78	15	$1.09	$0.98
77332 Design and construction of simple radiation treatment device	78	44	$46.51	$38.82
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	63	51	$684.42	$620.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$121.50	$111.78
77262 Intermediate radiation therapy planning	59	52	$119.60	$106.31
77333 Design and construction of intermediate radiation treatment device	51	42	$140.79	$127.48
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	51	38	$325.72	$285.22
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	48	39	$413.21	$380.47
69100 Biopsy of ear	40	35	$101.72	$50.45
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	39	30	$424.13	$350.56
11104 Punch biopsy, first skin growth	39	36	$132.11	$121.55
96574 Application of light with debridement to destroy precancer skin growth	37	25	$286.82	$264.11
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$77.73	$71.49
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	35	30	$263.23	$121.20
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	31	28	$300.14	$138.76
17004 Destruction of precancer skin growth, 15 or more growths	27	26	$179.16	$164.88
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	26	17	$106.54	$64.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$181.57	$166.29
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	22	19	$335.14	$175.44
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	16	$185.49	$93.94
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	18	15	$129.07	$105.70
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	14	12	$193.32	$158.44
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	14	13	$474.08	$438.25
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	11	11	$536.52	$247.38
77263 Complex radiation therapy planning	11	11	$240.51	$158.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	18,200	51	$3.61	$1.63
Q4282 Cygnus dual, per square centimeter	2,550	60	$1390.50	$1368.25
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	2,215	152	$454.32	$256.13
77401 Radiation treatment delivery, superficial	2,146	171	$59.69	$39.09
G6001 Ultrasonic guidance for placement of radiation therapy fields	2,144	138	$318.71	$170.69
Q4262 Dual layer impax membrane, per square centimeter	827	22	$1474.99	$1343.42
99213 Established patient office or other outpatient visit, typically 15 minutes	674	553	$98.82	$89.94
11103 Biopsy of related skin growth, each additional growth	589	260	$54.52	$49.68
11102 Tangential biopsy of single skin lesion	489	414	$109.80	$89.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	483	351	$61.57	$56.11
17003 Destruction of precancer skin growth, 2-14 growths	473	128	$7.12	$6.46
77285 Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas	397	42	$460.89	$420.53
77427 Radiation treatment management, 5 treatments	378	74	$381.85	$189.18
77300 Calculation of radiation therapy dose	235	134	$97.17	$64.28
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	233	181	$752.87	$655.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	233	32	$1.21	$1.08
17000 Destruction of skin growth	229	197	$73.13	$48.18
17110 Destruction of up to 14 skin growths	201	180	$122.39	$105.41
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	178	120	$456.63	$400.25
15275 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	175	58	$173.74	$134.84
77334 Design and construction of complex radiation treatment device	165	74	$230.21	$119.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	142	$139.76	$127.34
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	120	28	$169.03	$135.17
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	115	100	$516.89	$270.52
77290 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	112	27	$766.63	$431.18
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	87	76	$464.88	$316.02
11104 Punch biopsy, first skin growth	86	86	$136.17	$121.23
77261 Simple radiation therapy planning	81	57	$139.13	$69.15
96573 Application of light by qualified health care professional to destroy precancer skin growth	78	51	$243.22	$221.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$123.38	$112.50
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	53	44	$706.88	$618.37
69100 Biopsy of ear	51	40	$105.34	$59.29
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	43	32	$152.19	$112.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	30	$15.29	$13.93
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	37	36	$434.36	$353.00
96574 Application of light with debridement to destroy precancer skin growth	36	29	$298.41	$271.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$183.29	$166.98
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$78.88	$71.90
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	27	20	$430.30	$384.93
17270 Destruction of malignant growth (0.5 centimeters) of scalp, neck, hands, feet, or genitals	27	22	$163.98	$132.82
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	27	24	$496.56	$452.48
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	27	23	$266.79	$126.17
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	26	19	$436.46	$388.63
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	20	18	$109.18	$84.56
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	19	17	$170.97	$123.00
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	17	12	$196.79	$152.92
11404 Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm	15	13	$247.56	$120.32
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	15	13	$160.59	$117.06
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	14	14	$546.26	$267.05
11406 Removal of growth (4.0 centimeters) of the trunk, arms, or legs	12	12	$354.91	$175.16
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	12	11	$341.66	$168.64
11200 Removal of skin tag, 1-15 skin tags	11	11	$99.75	$61.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77401 Radiation treatment delivery, superficial	3,490	233	$52.73	$40.04
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	2,282	219	$412.32	$262.03
G6001 Ultrasonic guidance for placement of radiation therapy fields	1,675	208	$297.91	$174.72
Q4197 Puraply xt, per square centimeter	1,100	21	$267.39	$263.17
17003 Destruction of precancer skin growth, 2-14 growths	910	140	$11.96	$6.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	731	361	$76.41	$56.87
99213 Established patient office or other outpatient visit, typically 15 minutes	576	404	$149.38	$91.30
11102 Tangential biopsy of single skin lesion	446	355	$159.75	$87.48
11103 Biopsy of related skin growth, each additional growth	415	194	$77.29	$51.14
77300 Calculation of radiation therapy dose	398	208	$82.27	$64.27
17000 Destruction of skin growth	304	212	$114.37	$46.74
77290 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	302	165	$500.64	$445.14
17110 Destruction of up to 14 skin growths	283	194	$207.57	$109.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	181	27	$1.34	$1.15
77427 Radiation treatment management, 5 treatments	174	52	$384.80	$193.15
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	172	139	$805.44	$663.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	168	168	$205.55	$113.48
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	100	88	$479.92	$344.79
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	95	60	$506.32	$409.09
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	93	83	$527.18	$307.18
99202 New patient office or other outpatient visit, typically 20 minutes	69	69	$126.09	$73.30
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	62	55	$307.03	$147.07
17004 Destruction of precancer skin growth, 15 or more growths	52	29	$320.37	$168.13
77261 Simple radiation therapy planning	52	40	$143.76	$72.06
77332 Design and construction of simple radiation treatment device	50	25	$76.36	$38.19
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	41	38	$712.87	$625.46
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	41	40	$453.78	$393.72
11900 Injection into skin growth, 1-7 growths	38	27	$106.40	$45.60
15275 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	38	17	$176.97	$151.86
69100 Biopsy of ear	34	28	$132.16	$60.02
17111 Destruction of skin growth, 15 or more growths	33	24	$256.41	$128.38
77334 Design and construction of complex radiation treatment device	32	22	$243.14	$121.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	24	$16.42	$14.22
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	17	$214.14	$94.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$199.27	$128.47
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	17	$296.66	$164.70
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	17	17	$430.35	$391.08
17270 Destruction of malignant growth (0.5 centimeters) of scalp, neck, hands, feet, or genitals	14	12	$226.66	$132.85
11104 Punch biopsy, first skin growth	14	14	$155.36	$126.93
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	13	12	$194.90	$103.11
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	12	$291.49	$137.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77401 Radiation treatment delivery, superficial	524	46	$80.09	$41.95
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	384	41	$626.90	$277.59
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	371	278	$817.45	$629.81
G6001 Ultrasonic guidance for placement of radiation therapy fields	312	24	$384.37	$150.67
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	233	147	$480.92	$407.05
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	201	167	$516.42	$303.53
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	201	168	$566.61	$288.27
99213 Established patient office or other outpatient visit, typically 15 minutes	184	157	$130.63	$92.24
11102 Tangential biopsy of single skin lesion	156	140	$130.03	$81.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	131	109	$73.66	$56.19
11103 Biopsy of related skin growth, each additional growth	122	68	$69.87	$51.98
17003 Destruction of precancer skin growth, 2-14 growths	118	45	$10.35	$6.37
17000 Destruction of skin growth	103	88	$108.25	$46.44
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	94	82	$741.28	$596.41
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	70	59	$310.60	$130.19
77300 Calculation of radiation therapy dose	59	50	$97.48	$65.83
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	56	49	$507.70	$372.86
17110 Destruction of up to 14 skin growths	55	47	$165.93	$103.61
77427 Radiation treatment management, 5 treatments	53	19	$460.56	$193.77
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	46	35	$435.56	$366.91
77290 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	43	35	$535.32	$446.08
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	32	26	$285.56	$133.21
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	31	30	$410.12	$185.44
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	28	$363.94	$250.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$198.92	$130.76
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	27	25	$321.69	$137.11
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	20	$209.27	$94.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$205.05	$114.04
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	24	23	$323.83	$154.69
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$116.92	$73.53
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	18	17	$314.07	$215.52
77261 Simple radiation therapy planning	18	18	$167.54	$72.50
77334 Design and construction of complex radiation treatment device	17	17	$307.19	$124.87
11104 Punch biopsy, first skin growth	17	17	$176.87	$114.20
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	15	15	$704.19	$274.38
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	14	13	$175.27	$123.19
86328 Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative	14	11	$100.00	$45.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$289.47	$170.49
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	11	11	$95.56	$71.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	443	310	$792.24	$629.09
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	229	182	$563.91	$284.32
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	203	136	$472.19	$398.31
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	197	160	$510.05	$320.13
99213 Established patient office or other outpatient visit, typically 15 minutes	189	156	$134.02	$75.49
11102 Tangential biopsy of single skin lesion	168	154	$164.88	$85.79
11103 Biopsy of related skin growth, each additional growth	162	77	$86.18	$53.59
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	97	78	$281.17	$127.24
77401 Radiation treatment delivery, superficial	96	15	$46.41	$23.87
17003 Destruction of precancer skin growth, 2-14 growths	76	27	$13.23	$5.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	68	12	$9.76	$1.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	62	$185.83	$109.79
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	58	50	$732.23	$568.32
17000 Destruction of skin growth	57	52	$107.62	$46.12
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	54	50	$515.92	$393.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$200.85	$107.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	39	$51.43	$45.71
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	27	$212.04	$85.74
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	26	25	$330.28	$142.47
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	26	26	$603.76	$257.01
17110 Destruction of up to 14 skin growths	24	21	$206.67	$107.17
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	23	$301.22	$139.88
11104 Punch biopsy, first skin growth	23	23	$204.64	$102.88
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	20	16	$427.29	$342.44
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	19	$367.94	$262.69
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	17	17	$378.07	$181.38
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	16	$336.49	$153.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$280.00	$165.08
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	14	13	$217.60	$167.72
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	14	13	$474.29	$270.33
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	12	12	$326.08	$148.46
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	11	11	$1217.91	$1116.21
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	11	11	$220.25	$146.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$60.00	$12.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	542	136	$11.23	$5.67
88332 Pathology examination of specimen during surgery, each additional tissue block	298	28	$75.36	$53.05
99213 Established patient office or other outpatient visit, typically 15 minutes	282	249	$140.58	$73.69
11102 Tangential biopsy of single skin lesion	275	255	$184.48	$87.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	247	$165.85	$108.52
17000 Destruction of skin growth	223	197	$113.00	$48.85
11103 Biopsy of related skin growth, each additional growth	191	115	$95.54	$52.88
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	180	29	$6.52	$1.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$205.61	$108.37
17110 Destruction of up to 14 skin growths	125	122	$189.52	$104.64
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	98	86	$614.74	$392.76
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	89	74	$1159.98	$600.20
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	76	70	$710.87	$364.29
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	72	47	$641.82	$397.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	62	$55.90	$44.93
99202 New patient office or other outpatient visit, typically 20 minutes	62	62	$111.68	$76.44
11104 Punch biopsy, first skin growth	61	59	$212.26	$121.17
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	60	53	$340.48	$132.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$377.10	$163.63
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	41	37	$641.61	$371.28
88331 Pathology examination of specimen during surgery, first tissue block	33	28	$156.78	$96.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	25	$43.98	$16.47
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	27	$241.88	$90.63
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	27	25	$316.15	$137.62
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	13	$316.86	$143.85
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	14	13	$1212.45	$580.60
69100 Biopsy of ear	14	13	$141.86	$94.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,119	224	$10.72	$5.25
99213 Established patient office or other outpatient visit, typically 15 minutes	787	485	$146.46	$72.01
11100 Biopsy of single growth of skin and/or tissue	514	420	$211.72	$98.78
17000 Destruction of skin growth	400	287	$132.33	$49.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	383	383	$215.98	$106.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	355	61	$3.28	$1.80
11101 Biopsy of each additional growth of skin and/or tissue	302	168	$65.75	$32.12
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	155	121	$1336.31	$590.57
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	154	78	$773.88	$383.50
17110 Destruction of up to 14 skin growths	106	97	$223.75	$107.23
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	90	80	$857.76	$297.80
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	63	54	$958.43	$269.11
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	62	52	$371.16	$165.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	47	$41.42	$20.02
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	44	39	$1240.21	$581.20
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	36	33	$793.76	$374.24
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	31	$498.80	$127.74
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	19	$350.90	$91.20
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	18	15	$743.30	$368.42
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	17	14	$1020.99	$268.35
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	14	14	$269.32	$133.72
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	11	$289.00	$104.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$135.33	$43.33
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	12	11	$1909.37	$948.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,053	189	$11.39	$5.54
99213 Established patient office or other outpatient visit, typically 15 minutes	530	373	$158.78	$71.79
11100 Biopsy of single growth of skin and/or tissue	461	371	$206.04	$95.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	435	66	$3.35	$1.76
17000 Destruction of skin growth	320	233	$135.65	$47.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	274	274	$239.55	$107.45
11101 Biopsy of each additional growth of skin and/or tissue	268	161	$65.28	$32.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	177	$216.43	$105.14
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	193	133	$1354.85	$598.76
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	149	88	$755.31	$379.42
17110 Destruction of up to 14 skin growths	139	129	$245.43	$105.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	123	123	$330.46	$163.36
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	112	90	$962.69	$264.42
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	102	79	$861.30	$317.87
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	74	57	$513.49	$123.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	68	54	$50.19	$24.07
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	60	56	$796.55	$380.41
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	28	23	$1245.22	$612.65
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	24	22	$349.83	$160.13
17004 Destruction of precancer skin growth, 15 or more growths	17	15	$291.77	$140.46
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	16	15	$498.20	$354.30
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	16	15	$1026.86	$236.82
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	16	15	$262.40	$129.37
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$333.84	$82.27
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$388.54	$88.62

Medical Specialties & State Licenses

CMS Verified: 2020-04-02

Dermatology - MOHS-Micrographic Surgery Primary Specialty

NUCC Taxonomy Code: 207ND0101X

State License FL ME73625

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.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License FL ME73625

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License FL ME73625

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000651600 (FL)

Hospital & Practice Group Affiliations

Nosky Pa

255 Se 7th Ave, Crystal River, FL 344294848

Phone: 3527946385

Citrus Multi Care Llc

11521 W Emerald Oaks Dr, Crystal River, FL 344282815

Citrus Multi Care Llc

11521 W Emerald Oaks Dr, Crystal River, FL 344282815

Phone: 3527946385

Michael J Freeman Md Pa

2750 Se 17th St, Ocala, FL 344715519

Phone: 3527327779

Skin Dermatology And Cosmetic Services Pa

865 Saxon Blvd, Orange City, FL 327638204

Phone: 3862561969

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location April 02, 2020

Registered at 1091 SE 59TH ST, OCALA, FL 344806146 (Tel: 8505970324)

📍

Updated Business Mailing Address April 02, 2020

Registered at 1091 SE 59TH ST, OCALA, FL 344806146 (Tel: 8505970324)

📍

Updated Practice Location February 06, 2019

Registered at 931 S US HIGHWAY 41, INVERNESS, FL 344506860 (Tel: 8553537546)

📍

Updated Business Mailing Address February 06, 2019

Registered at 1450 6TH ST SE, WINTER HAVEN, FL 338804505 (Tel: 8632932147)

✅

NPI Profile Active August 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 23, 2016

Registered at 2121 SW 22ND PL, OCALA, FL 344717766 (Tel: 3522374133)

📍

Updated Business Mailing Address August 23, 2016

Registered at 2230 SW 19TH AVENUE RD, OCALA, FL 344711391 (Tel: 3522374133)

👤

Provider Name / Credentials Updated August 23, 2016

Recorded as KENNETH WALLACE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2016

Dermatology (License #ME73625 in FL)

🟢

Initial NPI Registration & Enumeration April 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Kenneth Wallace. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1295791754

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 25, 2006

Last Update: April 02, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1091 Se 59th St

Ocala, FL 344806146

Phone: 8505970324

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.