STEPHEN J GALLO M.D. NPI 1013076546
Urology in Springfield, MA

About STEPHEN J GALLO M.D.

Stephen Gallo is a provider established in Springfield, Massachusetts and his medical specialization is Urology with more than 29 years of experience. He graduated from Johns Hopkins University School Of Medicine in 1994. The NPI number of Stephen Gallo is 1013076546 and was assigned on December 2006. The practitioner's primary taxonomy code is 208800000X with license number 156984 (MA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1013076546
Provider Name STEPHEN J GALLO M.D.
Location Address100 WASON AVENUE SUITE 120 SPRINGFIELD, MA 01107
Location Phone(413) 241-2100
Mailing Address100 WASON AVENUE SUITE 120 SPRINGFIELD, MA 01107
GenderMale
NPI Entity TypeIndividual
Medical School NameJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1994
Is Sole Proprietor?No
Enumeration Date12-08-2006
Last Update Date06-17-2010

Stephen 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.

Stephen 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 Baystate Medical Center, Holyoke Medical Center, Baystate Wing Hospital, Mercy Medical Ctr and Cooley Dickinson Hospital Inc,the.

The typical physician office visit costs for Medicare beneficiaries in this area are: $35.07 for a new patient copayment and $19.15 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and 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 Code208800000X
ClassificationUrology
TypeAllopathic & Osteopathic Physicians
License No.156984
License StateMA
Taxonomy DescriptionA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Business Address

STEPHEN J GALLO M.D.
100 WASON AVENUE
SUITE 120
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 241-2100
Fax: (413) 735-1986

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Mailing Address

STEPHEN J GALLO M.D.
100 WASON AVENUE
SUITE 120
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 241-2100
Fax: (413) 735-1986


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID5991832891
PECOS Enrollment IDI20120615000108
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 01107 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$61.32 $185.12 $140.28
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.33 $46.28 $35.07
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
$19.31 $151.47 $76.6
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.82 $37.86 $19.15

* 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.

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.

  • 1034Automated urinalysis test (HCPCS:81003)
  • 668Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • 293Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 40Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)
  • 15CT scan of abdomen and pelvis (HCPCS:74176)
  • 11X-ray of abdomen, single view (HCPCS:74000)

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. Stephen Gallo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BAYSTATE MEDICAL CENTER759 CHESTNUT STREET
SPRINGFIELD, MA 1199
(413) 794-0000Acute Care Hospitals220077
HOLYOKE MEDICAL CENTER575 BEECH STREET
HOLYOKE, MA 1040
(413) 534-2500Acute Care Hospitals220024
BAYSTATE WING HOSPITAL40 WRIGHT STREET
PALMER, MA 1069
(413) 283-7651Acute Care Hospitals220030
MERCY MEDICAL CTR271 CAREW STREET
SPRINGFIELD, MA 1104
(413) 748-9000Acute Care Hospitals220066
COOLEY DICKINSON HOSPITAL INC,THE30 LOCUST STREET
NORTHAMPTON, MA 1060
(413) 582-2000Acute Care Hospitals220015

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.
1013076546
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023071258
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 2 + 5 + 8 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1013076546 is valid because the calculated check digit 6 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
1033104328 JACQUELYN REILLY MD
Individual
Otolaryngology100 WASON AVENUE SUITE 110
SPRINGFIELD, MA 01107
(413) 732-7426
1528040417 GRANT K MOORE MD
Individual
Otolaryngology100 WASON AVENUE SUITE 100
SPRINGFIELD, MA 01107
(413) 732-7426
1619934668 THEODORE P MASON MD
Individual
Otolaryngology100 WASON AVENUE SUITE 100
SPRINGFIELD, MA 01107
(413) 732-7426
1265499370 JERRY M SCHREIBSTEIN MD.
Individual
Otolaryngology100 WASON AVENUE SUITE 100
SPRINGFIELD, MA 01107
(413) 732-7426
1437117496 LEONARD H SHAKER M.D
Individual
Urology100 WASON AVENUE SUITE 120
SPRINGFIELD, MA 01107
(413) 241-2100
1154378883 OSCAR L ELGUERO M.D.
Individual
Urology100 WASON AVENUE SUITE 120
SPRINGFIELD, MA 01107
(413) 241-2100
1750315982PIONEER VALLEY UROLOGY, PC
Organization
Urology100 WASON AVENUE SUITE 120
SPRINGFIELD, MA 01107
(413) 241-2100
1194832774 WILLIAM E SWANSON MD
Individual
Urology100 WASON AVENUE SUITE 120
SPRINGFIELD, MA 01107
(413) 241-2100
1376616565 ROBERT I WHITE MD
Individual
Urology100 WASON AVENUE SUITE 120
SPRINGFIELD, MA 01107
(413) 241-2100
1093999484DR. DANIEL I PLOSKY MD
Individual
Otolaryngology100 WASON AVENUE SUITE 100
SPRINGFIELD, MA 01107
(413) 732-7426
1629238621 RACHELLE R LETENDRE CCC-A
Individual
Audiologist100 WASON AVENUE SUITE 100
SPRINGFIELD, MA 01107
(413) 732-7426
1255591251 ALISON L CAVANAUGH CCC-A
Individual
Audiologist100 WASON AVENUE SUITE 100
SPRINGFIELD, MA 01107
(413) 732-7426
1598925505 CYNTHIA P BEAUREGARD CCC A
Individual
Audiologist100 WASON AVENUE SUITE 100
SPRINGFIELD, MA 01107
(413) 732-7426
1144452939MS. ILA KAREN SHEBAR NP
Individual
Nurse Practitioner (Women's Health)100 WASON AVENUE SUITE 120
SPRINGFIELD, MA 01107
(413) 241-2100
1902039936GREATER SPRINGFIELD SURGERY CENTER, LLC
Organization
Clinic/Center (Ambulatory Surgical)100 WASON AVENUE
SPRINGFIELD, MA 01107
(860) 667-1815
1033372800 MARCELLA G MCDEVITT AU.D.,CCC-A
Individual
Audiologist100 WASON AVENUE SUITE 100
SPRINGFIELD, MA 01107
(413) 732-7426
1841258456 BARRY R JACOBS MD
Individual
Otolaryngology100 WASON AVENUE SUITE 100
SPRINGFIELD, MA 01107
(413) 732-7426
1447460654WESTERN MASS MEDICAL GROUP, PC
Organization
Clinic/Center (Primary Care)100 WASON AVENUE SUITE 230
SPRINGFIELD, MA 01107
(413) 788-6139
1457511453MRS. CYNTHIA M DROBIAZGIEWICZ AU.D.,CCC-A
Individual
Audiologist100 WASON AVENUE SUITE 100
SPRINGFIELD, MA 01107
(413) 732-7426
1942476684MS. KIMBERLY A BROWN PA-C
Individual
Physician Assistant100 WASON AVENUE SUITE 100
SPRINGFIELD, MA 01107
(413) 732-7426

Frequently Asked Questions

What is Stephen Gallo M.D. NPI number?

The NPI number assigned to Stephen Gallo M.D. is 1013076546, registered as an "individual" on December 08, 2006

Where is Stephen Gallo M.D. located?

The provider is located at 100 Wason Avenue Suite 120 Springfield, Ma 01107 and the phone number is (413) 241-2100

Which is Stephen Gallo M.D. specialty?

The provider's speciality is Urology

How many years of experience does Stephen Gallo M.D. have?

The provider has more than 29 years of experience. He graduated from Johns Hopkins University School Of Medicine in 1994.

Is Stephen Gallo M.D. registered in PECOS?

Yes, as of November 14, 2022 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 Stephen Gallo M.D.?

Medicare beneficiaries should expect a typical cost of $140.28 with an average copayment of $35.07 for new patient appointments. Established patients should expect a typical charge of $76.6 and an average copayment of 19.15. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Stephen Gallo M.D.?

The most common procedures or services performed by this practitioner are: Automated urinalysis test, Ultrasound measurement of bladder capacity after voiding, Insertion of needle into vein for collection of blood sample, Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope, CT scan of abdomen and pelvis and X-ray of abdomen, single view.

Is Stephen Gallo M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: BAYSTATE MEDICAL CENTER, HOLYOKE MEDICAL CENTER, BAYSTATE WING HOSPITAL, MERCY MEDICAL CTR and COOLEY DICKINSON HOSPITAL INC,THE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Stephen Gallo M.D. was last updated on December 08, 2006. 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]