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JOHN T GALLAGHER M.D.
NPI 1023051091
Family Medicine in Evansville, IN

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
95.57/100
CMS Quality Rating
801 SAINT MARYS DR # 300, EVANSVILLE, IN 47714(812) 485-5300 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2019, Apr 24, 2019, Oct 20, 2017 (3 updates tracked since 2017).

About John T Gallagher M.d. NPPES

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

JOHN T GALLAGHER M.D. (NPI 1023051091) is an individual family medicine provider in Evansville, Indiana, licensed in Indiana (01035426) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and maintains a secondary practice location in Evansville.

NPPES Registry Identity

NPI1023051091
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN T GALLAGHERCredential: M.D.
Location Address801 SAINT MARYS DR # 300Evansville, IN 47714-0511
Mailing Address801 Saint Marys Dr # 300Evansville, IN 47714-0511
Phone(812) 485-5300
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 1985
Enumeration DateJune 14, 2006
Last NPPES UpdateJune 22, 20223 updates tracked since enumeration
NPPES CertifiedJune 22, 2022
✔ NPI 1023051091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01035426
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.
801 SAINT MARYS DR # 300, Evansville, IN 47714
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Secondary Practice Location 1

Location 19200 New Harmony RdEvansville, IN 47720-8938 · Phone (812) 963-7617 · Fax (812) 963-7609

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

John T Gallagher M.d. 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 ID840398426
PECOS Enrollment IDI20070605000588
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 7

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
201 services52 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
138 services49 patients
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.
86 services72 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
50 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Ascension St Vincent Evansville

Acute Care Hospitals · Evansville, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150100
Location3700 Washington AveEvansville, IN 47750 · Vanderburgh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47714 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

95.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.32
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$10.29 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier21 claims32 services$9.65 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier23 claims23 services$180.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

MRS. MALEA DAWN WOLFE ACNP-BC
Nurse Practitioner (Family)
801 SAINT MARYS DR # 300
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-5300
MARGARET BELIVEAU FICALORA M.D.
Internal Medicine (Geriatric Medicine)
801 SAINT MARYS DR # 300
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-5300
ROBERT D FICALORA M.D.
Internal Medicine (Geriatric Medicine)
801 SAINT MARYS DR # 300
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-5300

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 John Gallagher's NPI number?

The NPI number for John Gallagher is 1023051091. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is John Gallagher located?

John Gallagher practices at 801 Saint Marys Dr # 300, Evansville, IN 47714. The listed phone number is (812) 485-5300.

What is John Gallagher's specialty?

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

Is John Gallagher enrolled in Medicare?

Yes. John 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 John Gallagher accept?

Health plans from CareSource list John 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 John Gallagher affiliated with any hospitals?

According to CMS data, John Gallagher is affiliated with Deaconess Hospital Inc and Ascension St Vincent Evansville.

When was this NPI record last updated?

The NPPES record for John Gallagher was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.