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KEVIN GALLAGHER
NPI 1003817057
Internal Medicine in Vestal, NY

Active since August 02, 2005PECOS Enrolled
4417 VESTAL PARKWAY EAST, SUITE 201, VESTAL, NY 13850(607) 770-7365(607) 798-1835 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Gallagher NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN GALLAGHER (NPI 1003817057) is an individual internal medicine provider in Vestal, New York, licensed in New York (189859-1) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003817057
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEVIN GALLAGHER
Location Address4417 VESTAL PARKWAY EAST, SUITE 201Vestal, NY 13850-3556
Mailing Address346 Grand AvenueJohnson City, NY 13790-2558 · (607) 729-8156 · Fax (607) 729-3982
Phone(607) 770-7365
Fax(607) 798-1835
Sole ProprietorNo
Enumeration DateAugust 2, 2005
Last NPPES UpdateSeptember 19, 2012
✔ NPI 1003817057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 189859-1
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4417 VESTAL PARKWAY EAST, Vestal, NY 13850
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Other Identifiers 3

Medicaid01348874NY
Medicare PINJ400059298NY
Medicare UPINF37757

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Gallagher is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
67%306 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
71%735 patients4/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
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.
98%2,544 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
81%680 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
84%680 patients4/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
56%938 patients3/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELIZABETH A ROSATO M.D.
Family Medicine
4417 VESTAL PARKWAY EAST
VESTAL, NY 13850
Broome County (607) 770-7365
HENDA BOUALI MD
Internal Medicine (Rheumatology)
4417 VESTAL PARKWAY EAST, SUITE 202
VESTAL, NY 13850
Broome County (607) 770-7365
DR. MARIA THERESA BERTINI D.O.
Family Medicine
4417 VESTAL PARKWAY EAST
VESTAL, NY 13850
Broome County (607) 770-7365
ZOE MOFFETT
Pharmacist
4417 VESTAL PARKWAY EAST
VESTAL, NY 13850
Broome County (607) 237-6710
KENT STRUCK MD
Internal Medicine
4417 VESTAL PARKWAY EAST
VESTAL, NY 13850
Broome County (607) 770-7365
NANCY E SHUMEYKO MD
Obstetrics & Gynecology (Gynecology)
4417 VESTAL PARKWAY EAST, SUITE 301
VESTAL, NY 13850
Broome County (607) 797-4496
LOUIS MATEYA MD
Internal Medicine
4417 VESTAL PARKWAY EAST, SUITE 201
VESTAL, NY 13850
Broome County (607) 770-7365
KELLY ELIZABETH MILLER FNP
Nurse Practitioner (Family)
4417 VESTAL PARKWAY EAST
VESTAL, NY 13850
Broome County (607) 770-7365

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Gallagher's NPI number?

The NPI number for Kevin Gallagher is 1003817057. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Kevin Gallagher located?

Kevin Gallagher practices at 4417 Vestal Parkway East Suite 201, Vestal, NY 13850. The listed phone number is (607) 770-7365.

What is Kevin Gallagher's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kevin Gallagher enrolled in Medicare?

Yes. Kevin Gallagher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Gallagher was last updated on September 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.