Active NPI 1942497631 Individual Practitioner Female Practitioner

Robin E. Wallace , PHYSICIAN ASSISTANT

Physician Assistant • Norfolk, VA

Professional Overview & Biography Verified Profile Summary

Robin Wallace, PHYSICIAN ASSISTANT is a registered healthcare professional specializing in Physician Assistant in Norfolk, VA. Practice services are available at 6160 KEMPSVILLE CIR STE 325A under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6160 Kempsville Cir Ste 325a

Norfolk, VA 235023933

Telephone 7573542885

Fax 7579175141

Associated Practice Facility / Clinic

🏢 Long Term Care Of Tidewater Pc Facility NPI 1033154430

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Norfolk, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 8.7 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

312 Specialists

Practicing in Norfolk, VA (4432 Statewide)

Telehealth Adoption Rate

11.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	157	69	$139.00	$87.59
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	86	50	$105.00	$60.61
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	44	36	$206.00	$124.74
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi	19	15	$61.50	$24.52
99497 Advance care planning, first 30 minutes	16	15	$175.00	$61.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi	235	53	$61.50	$25.25
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	78	56	$206.00	$127.10
99498 Advance care planning by the physician or other qualified health care professional	34	16	$113.00	$59.14
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	30	26	$105.00	$61.73
99497 Advance care planning, first 30 minutes	27	22	$175.00	$62.53
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	19	$139.00	$88.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	108	88	$206.00	$113.15
99356 Prolonged inpatient or observation hospital service, first hour	83	76	$140.00	$76.46
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	62	44	$105.00	$58.41
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	33	27	$139.00	$76.87
99357 Extended inpatient or observation hospital service, each additional 30 minutes	22	18	$140.00	$76.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99497 Advance care planning, first 30 minutes	101	92	$175.00	$72.82
99498 Advance care planning by the physician or other qualified health care professional	94	66	$113.00	$63.08
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	49	38	$206.00	$114.69
99498 Advance care planning by the physician or other qualified health care professional	41	24	$113.00	$62.80
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	38	27	$206.00	$114.66
99356 Prolonged inpatient or observation hospital service, first hour	34	30	$140.00	$77.64
99497 Advance care planning, first 30 minutes	32	29	$175.00	$66.62
99356 Prolonged inpatient or observation hospital service, first hour	27	21	$140.00	$77.63
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	15	14	$139.00	$77.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	14	12	$105.00	$58.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99497 Advance care planning, first 30 minutes	79	56	$175.00	$74.28
99498 Advance care planning by the physician or other qualified health care professional	57	37	$113.00	$65.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	45	$210.00	$90.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	364	189	$210.00	$91.09
99213 Established patient office or other outpatient visit, typically 15 minutes	116	73	$140.00	$63.04
85610 Blood test, clotting time	63	15	$20.00	$4.28
83036 Hemoglobin A1C level	45	30	$40.00	$10.10
G0008 Administration of influenza virus vaccine	39	39	$35.51	$16.42
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	30	30	$35.67	$18.65
82962 Blood glucose (sugar) test performed by hand-held instrument	25	19	$14.00	$3.21
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$50.00	$13.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	386	184	$210.00	$90.15
99213 Established patient office or other outpatient visit, typically 15 minutes	125	79	$140.00	$61.17
85610 Blood test, clotting time	68	14	$20.00	$4.75
83036 Hemoglobin A1C level	41	27	$40.00	$11.75
G0008 Administration of influenza virus vaccine	28	27	$35.00	$20.24
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	26	26	$30.00	$17.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$145.00	$98.26
81003 Automated urinalysis test	12	12	$10.00	$2.71
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$50.00	$14.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	130	$206.14	$89.82
99213 Established patient office or other outpatient visit, typically 15 minutes	84	61	$138.57	$61.19
85610 Blood test, clotting time	34	12	$20.00	$5.28
83036 Hemoglobin A1C level	25	15	$40.00	$13.05
G0008 Administration of influenza virus vaccine	24	23	$35.00	$24.99
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	23	22	$30.00	$17.22
82962 Blood glucose (sugar) test performed by hand-held instrument	22	13	$14.00	$3.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$145.00	$96.90

Medical Specialties & State Licenses

CMS Verified: 2024-09-05

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110002610

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1942497631 (VA)

Medicaid State Provider ID

8101130 (NC)

Commercial Insurance / Payer ID Tricare/champus

-022 (VA)

Commercial Insurance / Payer ID Optima Health

10115900P (VA)

Commercial Insurance / Payer ID Corvel

PAR (VA)

Commercial Insurance / Payer ID Usa Managed Care

PAR (VA)

Secondary Practice Locations

16463 Dahlgren Rd

King George, VA 224855810

Phone: 5406449505

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Angela Bryant , FNP-C

Family Medicine

NPI 1003793134

Family Nurse Practitioner (Certified)

Sarah Burbidge , NP

Nurse Practitioner

NPI 1013623743

Nurse Practitioner

Dr. Leena Khanna , MD

Internal Medicine

NPI 1033319421

Doctor of Medicine (M.D.)

Alice Morris , FNP

Nurse Practitioner - Family

NPI 1043811144

Family Nurse Practitioner

Marlene Lorenz , NP

Nurse Practitioner

NPI 1063487452

Nurse Practitioner

Carrie Thomas , AGPCNP-BC

Nurse Practitioner - Adult Health

NPI 1104464551

AGPCNPBC

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location October 28, 2020

Registered at 6160 KEMPSVILLE CIR STE 325A, NORFOLK, VA 235023933 (Tel: 7573542885)

📍

Updated Business Mailing Address October 28, 2020

Registered at 6160 KEMPSVILLE CIR STE 325A, NORFOLK, VA 235023933 (Tel: 7573542885)

📍

Updated Practice Location March 19, 2018

Registered at 3640 HIGH ST STE 3B, PORTSMOUTH, VA 237073213 (Tel: 7573976344)

✅

NPI Profile Active November 06, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 06, 2013

Registered at 600 CRAWFORD ST, SUITE 300, PORTSMOUTH, VA 237043820 (Tel: 7573976344)

📍

Updated Business Mailing Address November 06, 2013

Registered at PO BOX 936, EVMS MEDICAL GROUP, NORFOLK, VA 235010936 (Tel: 7573976344)

👤

Provider Name / Credentials Updated November 06, 2013

Recorded as ROBIN WALLACE, PHYSICIAN ASSISTANT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2013

Physician Assistant (License #0110002610 in VA)

🟢

Initial NPI Registration & Enumeration September 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942497631

Entity Type:

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

Enumeration Date: September 27, 2007

Last Update: September 05, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6160 Kempsville Cir Ste 325a

Norfolk, VA 235023933

Phone: 7573542885

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.