LAURIE A GALLAGHER D.O.
NPI 1013978741
Family Medicine in Downingtown, PA

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
142 WALLACE AVE STE 201, DOWNINGTOWN, PA 19335(610) 873-2700(610) 594-2625 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2018, Jun 21, 2017 (2 updates tracked since 2017).

About Laurie A Gallagher D.o. NPPES

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

LAURIE A GALLAGHER D.O. (NPI 1013978741) is an individual family medicine provider in Downingtown, Pennsylvania, licensed in Pennsylvania (OS-009935-L) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1997).

NPPES Registry Identity

NPI1013978741
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLAURIE A GALLAGHERCredential: D.O.
Location Address142 WALLACE AVE STE 201Downingtown, PA 19335
Mailing Address412 Creamery Way, Suite 400Exton, PA 19341-2551 · (610) 594-7590 · Fax (610) 594-2625
Fax(610) 594-2625
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1997
Enumeration DateMarch 31, 2006
Last NPPES UpdateMay 24, 20182 updates tracked since enumeration
NPI 1013978741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OS-009935-L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
142 WALLACE AVE STE 201, Downingtown, PA 19335

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Laurie A Gallagher D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800869389
PECOS Enrollment IDI20040813000289
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.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
443 services240 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
156 services156 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
148 services148 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
143 services143 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
131 services128 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
104 services102 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19335 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

Family Medicine
142 WALLACE AVE STE 201
DOWNINGTOWN, PA 19335
Family Medicine
142 WALLACE AVE STE 201
DOWNINGTOWN, PA 19335
Family Medicine
142 WALLACE AVE STE 201
DOWNINGTOWN, PA 19335
Internal Medicine
142 WALLACE AVE STE 201
DOWNINGTOWN, PA 19335
Nurse Practitioner
142 WALLACE AVE STE 201
DOWNINGTOWN, PA 19335
Family Medicine
142 WALLACE AVE STE 201
DOWNINGTOWN, PA 19335
Family Medicine
142 WALLACE AVE STE 201
DOWNINGTOWN, PA 19335
Nurse Practitioner (Family)
142 WALLACE AVE STE 201
DOWNINGTOWN, PA 19335

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 Laurie Gallagher's NPI number?

The NPI number for Laurie Gallagher is 1013978741. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Laurie Gallagher located?

Laurie Gallagher practices at 142 Wallace Ave Ste 201, Downingtown, PA 19335. The listed phone number is (610) 873-2700.

What is Laurie Gallagher's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Laurie Gallagher enrolled in Medicare?

Yes. Laurie Gallagher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Laurie Gallagher accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Laurie Gallagher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Laurie Gallagher affiliated with any hospitals?

According to CMS data, Laurie Gallagher is affiliated with Lancaster General Hospital, Hospital Of Univ Of Pennsylvania, Paoli Hospital and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Laurie Gallagher was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.