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Dr. Kevin Wallace , ND

Naturopath • Modesto, CA

Active NPI 1659760700 Individual Practitioner Male Practitioner
Practice location in NPPES

205 Judith Ln
Modesto, CA 953504413

Call 2098094251 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

205 Judith Ln

Modesto, CA 953504413

Telephone 2098094251

30-day fills

43 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$781 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Modesto and California

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Wallace are from 2023.

2 active clinicians are listed under Naturopath with a practice address in Modesto, CA (965 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D · Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Liothyronine Sodium Liothyronine Sodium 16 870 $444.14 —
Testosterone Cypionate Testosterone Cypionate 13 255 $337.07 —

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-02-23
Naturopath Primary Specialty

NUCC Taxonomy Code: 175F00000X

License # reported to NPPES CA 707

Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1689017014

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location February 23, 2021

Registered at 205 JUDITH LN, MODESTO, CA 953504413 (Tel: 2098094251)

📍
Updated Business Mailing Address February 23, 2021

Registered at 2842 N RICHEY BLVD, TUCSON, AZ 857162023 (Tel: 5203964866)

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NPI Profile Active January 13, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) January 13, 2015

Registered at 1700 N TULLY RD APT G221, TURLOCK, CA 953806879 (Tel: 2094997067)

📍
Business Mailing Address (Initial Record) January 13, 2015

Registered at 1700 N TULLY RD APT G221, TURLOCK, CA 953806879 (Tel: 2094997067)

👤
Provider Name / Credentials (Initial Record) January 13, 2015

Recorded as KEVIN WALLACE, ND

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2015

Naturopath (license number reported to NPPES: CA 707)

🟢
Initial NPI Registration & Enumeration January 13, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659760700
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2015
Last Update: February 23, 2021
Sole Proprietor: Yes

Mailing Address

2842 N Richey Blvd

Tucson, AZ 857162023

Phone: 5203964866

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.