DR. GARY ANTHONY GALLO M.D. NPI 1003021825
Orthopaedic Surgery in Naples, FL
About DR. GARY ANTHONY GALLO M.D.
Gary Gallo is a provider established in Naples, Florida and his medical specialization is Orthopaedic Surgery with more than 61 years of experience. He graduated from New York Medical College in 1963. The healthcare provider is registered in the NPI registry with number 1003021825 and was assigned on May 2007. The practitioner's primary taxonomy code is 207X00000X with license number ME81511 (FL). The provider is registered as an individual and his NPI record was last updated 4 years ago.
| NPI | 1003021825 |
| Provider Name | DR. GARY ANTHONY GALLO M.D. |
| Location Address | 8300 COLLIER BLVD NAPLES, FL 34114 |
| Location Phone | (239) 354-6000 |
| Mailing Address | 5220 BELFORT RD SUITE 130 JACKSONVILLE, FL 32256 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1963 |
| Is Sole Proprietor? | No |
| Enumeration Date | 05-14-2007 |
| Last Update Date | 09-30-2019 |
Gary Gallo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Gary Gallo is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Naples Community Hospital and Physicians Regional Medical Center - Pine Ridge.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 60, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: closing the referral loop: receipt of specialist report, diabetes: foot exam, documentation of current medications in the medical record, falls: screening for future fall risk, implementation of fall screening and assessment programs, implementation of formal quality improvement methods, practice changes, or other practice improvement processes, measurement and improvement at the practice and panel level, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention, regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. and use of high-risk medications in the elderly.
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.66 for a new patient copayment and $19.1 for an established patient copayment.
Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207X00000X |
| Classification | Orthopaedic Surgery |
| Type | Allopathic & Osteopathic Physicians |
| License No. | ME81511 |
| License State | FL |
| Taxonomy Description | An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Business Address
8300 COLLIER BLVD
NAPLES, FL
ZIP 34114
Phone: (239) 354-6000
Mailing Address
5220 BELFORT RD
SUITE 130
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 446-3451
Fax: (904) 446-3013
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 3274757554 |
| PECOS Enrollment ID | I20140605001988 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 34114 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $61.36 | $187 | $94.64 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $15.34 | $46.75 | $23.66 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.68 | $151.65 | $76.4 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.67 | $37.91 | $19.1 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | N/A | |
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The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | N/A | |
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The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | N/A | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
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The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 60 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Quality Reporting
The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Closing the Referral Loop: Receipt of Specialist Report | 98% | 43 |
| Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred | ||
| Diabetes: Foot Exam | 98% | 47 |
| The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year | ||
| Documentation of Current Medications in the Medical Record | 82% | 773 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Falls: Screening for Future Fall Risk | 93% | 319 |
| Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period | ||
| Implementation of fall screening and assessment programs | Yes | N/A |
| Implementation of fall screening and assessment programs to identify patients at risk for falls and address modifiable risk factors (e.g., Clinical decision support/prompts in the electronic health record that help manage the use of medications, such as benzodiazepines, that increase fall risk). | ||
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 36% | 375 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 2% | 46 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | Yes | N/A |
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | ||
| Use of High-Risk Medications in the Elderly | 1% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 319 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 962Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
- 516Removal of skin and tissue (HCPCS:11045)
- 174Removal of tissue from wounds per session (HCPCS:97597)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Gary Gallo is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| NAPLES COMMUNITY HOSPITAL | 350 7TH ST N NAPLES, FL 34102 | (239) 624-4002 | Acute Care Hospitals | 100018 | |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE | 6101 PINE RIDGE ROAD NAPLES, FL 34119 | (239) 348-4000 | Acute Care Hospitals | 100286 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 2083P0011X | Allopathic & Osteopathic Physicians | Preventive Medicine | Undersea and Hyperbaric Medicine | ME81511 | FL | No |
Taxonomy Description: a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. | |||||||
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 2 | 1 | 8 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 2 | 2 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 2 + 2 + 8 + 4 + 24 = 45 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 45 = 5 | 5 | ||||||||
The NPI number 1003021825 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487651592 | TODD E CARLSON M.D. Individual | Emergency Medicine | 8300 COLLIER BLVD NAPLES, FL 34114 (239) 354-6190 |
| 1144241696 | MIN CHUNG KIM MD Individual | Emergency Medicine | 8300 COLLIER BLVD NAPLES, FL 34114 (239) 354-6000 |
| 1669520409 | COLLIER EMERGENCY SPECIALISTS LLC Organization | Emergency Medicine | 8300 COLLIER BLVD PHYSICIAN'S REGIONAL MEDICAL CENTER - COLLIER BLVD NAPLES, FL 34114 (239) 354-6000 |
| 1194989699 | COLLIER UNITED RADIOLOGY INC Organization | Radiology (Diagnostic Radiology) | 8300 COLLIER BLVD NAPLES, FL 34114 (239) 354-6000 |
| 1780900217 | NAPLES PRMC EMERGENCY PHYSICIANS LLC Organization | Hospitalist | 8300 COLLIER BLVD NAPLES, FL 34114 (877) 693-5700 |
| 1972823060 | COMPREHENSIVE HOSPITALIST SERVICES OF NAPLES LLC Organization | Hospitalist | 8300 COLLIER BLVD NAPLES, FL 34114 (877) 693-5700 |
| 1841590965 | PHYSICIANS REGIONAL MEDICAL CENTER - COLLIER BLVD Organization | Clinic/Center (Radiology) | 8300 COLLIER BLVD NAPLES, FL 34114 (813) 899-6226 |
| 1093011769 | NAPLES HMA, LLC Organization | Internal Medicine (Critical Care Medicine) | 8300 COLLIER BLVD NAPLES, FL 34114 (772) 581-6226 |
| 1841583515 | COLLIER EMERGENCY GROUP LLC Organization | Emergency Medicine | 8300 COLLIER BLVD NAPLES, FL 34114 (239) 354-6000 |
| 1396033452 | COLLIER PHYSICIAN SERVICES LLC Organization | Hospitalist | 8300 COLLIER BLVD NAPLES, FL 34114 (239) 354-6000 |
| 1700166899 | NAPLES HMA INC, DBA PHYSICIANS REGIONAL MEDICAL CENTER Organization | General Acute Care Hospital | 8300 COLLIER BLVD NAPLES, FL 34114 (239) 354-6000 |
| 1750624573 | JAY JAMES MARTINEZ Individual | Pharmacist | 8300 COLLIER BLVD NAPLES, FL 34114 (239) 354-6063 |
| 1932442753 | MARY A KOSSOWSKI PHARM.D. Individual | Pharmacist | 8300 COLLIER BLVD NAPLES, FL 34114 (239) 354-6063 |
| 1184038531 | SANDPIPER INPATIENT SERVICES LLC Organization | Internal Medicine | 8300 COLLIER BLVD NAPLES, FL 34114 (239) 354-6000 |
| 1811302268 | FLORIDA EM-I MEDICAL SERVICES PA Organization | Emergency Medicine | 8300 COLLIER BLVD NAPLES, FL 34114 (239) 354-6000 |
| 1982019329 | QUAIL EMERGENCY PHYSICIANS LLC Organization | Emergency Medicine | 8300 COLLIER BLVD NAPLES, FL 34114 (239) 354-6000 |
| 1649668989 | KOURTNEY MARSH PHARMD Individual | Pharmacist | 8300 COLLIER BLVD NAPLES, FL 34114 (239) 354-6062 |
| 1376924134 | JENNIFER ANN GERARD B.PHARM Individual | General Acute Care Hospital | 8300 COLLIER BLVD NAPLES, FL 34114 (239) 292-2267 |
| 1003265737 | DR. MATTHEW SANGER PHARMD Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 8300 COLLIER BLVD NAPLES, FL 34114 (239) 354-6063 |
| 1144778879 | STEWART SHRADER PHARM.D. Individual | Pharmacist | 8300 COLLIER BLVD NAPLES, FL 34114 (239) 354-6000 |
Frequently Asked Questions
What is Dr. Gary Gallo M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003021825, registered as an "individual" on May 14, 2007
Where is the provider located?
The provider is located at 8300 Collier Blvd Naples, Fl 34114 and the phone number is (239) 354-6000
What is the provider specialty code?
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
How many years of experience does Dr. Gary Gallo M.D. have?
The provider has more than 61 years of experience. He graduated from New York Medical College in 1963.
Is Dr. Gary Gallo M.D. registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Gary Gallo M.D.?
Medicare beneficiaries should expect a typical cost of $94.64 with an average copayment of $23.66 for new patient appointments. Established patients should expect a typical charge of $76.4 and an average copayment of 19.1. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Gary Gallo M.D.?
The most common procedures or services performed by this practitioner are: Removal of skin and tissue first 20 sq cm or less, Removal of skin and tissue and Removal of tissue from wounds per session.
Is Dr. Gary Gallo M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: NAPLES COMMUNITY HOSPITAL and PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
This NPI record was last updated on May 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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