Wallace Keith Ammon, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD427608 Issued in PA

Practice address

300 Highland Ave
Hanover, PA 17331

Phone

(717) 988-0000

Fax

(717) 782-5716

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 7

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

JC Edwards School of Medicine, Marshall University, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Health Emergency Department Services, LLCGroup PAC ID 0143124701, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Hanover Hospital, Hanover, PA, CCN 390233

Merit-based Incentive Payment System (MIPS)

Final score

93.46 of 100Reported as group

Quality

92.17

Promoting interoperability

100

Improvement activities

40

Cost

78.87

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wammon280198@upmc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pinnacle Health Emergency Department Services LLC

  • Emergency Medicine Physician
  • Harrisburg, PA
  • NPI 1487693404
  Medicare reassignment Care Compare group NPD
• Emergency Physician Associates of Pennsylvania, PC

  • Emergency Medicine Physician
  • Hanover, PA
  • NPI 1619990900
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Hanover

  • Clinic/Center
  • Hanover, PA
  • NPI 1700084944

  Hospital

  Care Compare affiliation
• Upmc Hanover

  • General Acute Care Hospital
  • Hanover, PA
  • NPI 1730158981
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610755200000",
    "number": "1871653345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HIGHLAND AVE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312297",
            "telephone_number": "717-988-0000",
            "fax_number": "717-782-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HIGHLAND AVE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "17331",
            "telephone_number": "717-988-0000",
            "fax_number": "717-782-5716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Governors Pl At Waterf",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174029194",
            "country_code": "US",
            "telephone_number": "717-755-0455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Governors Pl At Waterf",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174029194",
            "country_code": "US",
            "telephone_number": "717-755-0455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMMON",
        "first_name": "WALLACE",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD427608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "100434",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7107935",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101445370",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH 65 PA",
            "identifier": "2626996000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD BCBS",
            "identifier": "891000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS",
            "identifier": "103042",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1789885",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wammon86904@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "300 Highland Ave",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda C Albin, CRNP
• Debbie Allison
• Alycam Inc
• Monceratt Ambrocio Moya
• Kayley Ambrose
• Amanda Anderson
• Lauren Andree, MD
• Gayle A. Andrews-Murray, M.D.
• Marshall Allen Angotti, DDS
• Jonathan Michael Anzmann, MD, MS

• Family Medicine Physician in Hanover, PA
• Providers in Hanover, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.