DR. RIGEL GALERA M.D. NPI 1023297967

Family Medicine in Marysville, MI

NPI 1023297967 Individual Male Years of Experience 19 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

About RIGEL GALERA

Rigel Galera is a primary care provider established in Marysville, Michigan and his medical specialization is family medicine with more than 19 years of experience. He graduated from Loma Linda University School Of Medicine in 2002. The NPI number of Rigel Galera is 1023297967 and was assigned on October 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 4301082537 (MI). The provider is registered as an individual and his NPI record was last updated 8 years ago.

A primary care provider (PCP) like Dr. Rigel Galera M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Rigel Galera is enrolled in PECOS and is eligible to order or refer healthcare 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

Rigel Galera 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 Lake Huron Medical Center, Mclaren Port Huron, Mckenzie Health System, Ascension River District Hospital and Marlette Regional Hospital.

NPI

1023297967

Provider NameDR. RIGEL GALERA M.D.
Provider Location Address1985 GRATIOT BLVD SUITE 2A MARYSVILLE, MI 48040
Provider Mailing AddressPO BOX 1239 TROY, MI 48099
GenderMale
NPI Entity TypeIndividual
Medical School NameLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-28-2007
Last Update Date04-16-2013


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.4301082537
License StateMI
Taxonomy DescriptionFamily 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.

Business Address

DR. RIGEL GALERA M.D.
1985 GRATIOT BLVD
SUITE 2A
MARYSVILLE, MI
ZIP 48040
Phone: (810) 364-5050
Fax: (810) 364-5688

Get Directions


Mailing Address

DR. RIGEL GALERA M.D.
PO BOX 1239
TROY, MI
ZIP 48099
Phone: (248) 824-6600
Fax: (248) 324-1477



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID9133292188
PECOS Enrollment IDI20080723000870
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

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.

  • 206Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • 198Urinalysis, manual test (HCPCS:81002)
  • 177Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 153Administration of influenza virus vaccine (HCPCS:G0008)
  • 149Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im (HCPCS:G0179)
  • 147Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 64Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 30Removal of impact ear wax, one ear (HCPCS:69210)

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. Rigel Galera is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
LAKE HURON MEDICAL CENTER2601 ELECTRIC AVENUE
PORT HURON, MI 48060
(810) 985-1500Acute Care Hospitals230031
MCLAREN PORT HURON1221 PINE GROVE AVE
PORT HURON, MI 48060
(810) 987-5000Acute Care Hospitals230216
MCKENZIE HEALTH SYSTEM120 N DELAWARE STREET
SANDUSKY, MI 48471
(810) 648-3770Critical Access Hospitals231314
ASCENSION RIVER DISTRICT HOSPITAL4100 RIVER RD
EAST CHINA, MI 48054
(810) 329-7111Acute Care Hospitals230241
MARLETTE REGIONAL HOSPITAL2770 MAIN STREET
MARLETTE, MI 48453
(989) 635-4000Critical Access Hospitals231330

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790750685 MARY CRACIUM DO
Individual
Family Medicine1985 GRATIOT BLVD SUITE 2A
MARYSVILLE, MI 48040
(810) 364-5050
1518917491 AMGAD NASHED-AWAD MD
Individual
Family Medicine1985 GRATIOT BLVD SUITE 2A
MARYSVILLE, MI 48040
(810) 364-5050
1073841011 TYNISE LA'SHAIE PENN N.P.
Individual
Nurse Practitioner1985 GRATIOT BLVD SUITE 2A
MARYSVILLE, MI 48040
(810) 364-5050
1972899680DR. ARUNTHATHI TABITHA STALLWOOD MD
Individual
Internal Medicine1985 GRATIOT BLVD
MARYSVILLE, MI 48040
(810) 364-0692
1740275981DR. JAMES STERLING CABEEN DO
Individual
Family Medicine1985 GRATIOT BLVD STE 2A
MARYSVILLE, MI 48040
(810) 364-5050
1861002131PORT HURON BONE AND JOINT SURGERY PC
Organization
Orthopaedic Surgery1985 GRATIOT BLVD
MARYSVILLE, MI 48040
(734) 451-9692

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.