DANIEL GALLAGHER
NPI 1033583976
Nurse Practitioner - Family in Hamilton, OH

Active since November 16, 2015PECOS EnrolledAccepts Medicare Assignment
90.31/100
CMS Quality Rating
1 N BROOKWOOD AVE, HAMILTON, OH 45013(513) 981-4203 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 14, 2023, Nov 16, 2015 (2 updates tracked since 2015).

About Daniel Gallagher NPPES

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

DANIEL GALLAGHER (NPI 1033583976) is an individual family provider in Hamilton, Ohio, licensed in Ohio (APRN.CNP.18308) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Fairfield Hospital, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1033583976
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDANIEL GALLAGHER
Location Address1 N BROOKWOOD AVEHamilton, OH 45013-1209
Mailing Address2987 Derr RdSpringfield, OH 45503-1369
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 16, 2015
Last NPPES UpdateAugust 1, 20252 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
NPI 1033583976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in OH · APRN.CNP.18308 Licensed in OH · COA.18308-NP
1 N BROOKWOOD AVE, Hamilton, OH 45013

Secondary Practice Location 1

Location 12987 Derr RdSpringfield, OH 45503-1369 · Phone (513) 965-0112

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

Daniel Gallagher 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 ID5890096770
PECOS Enrollment IDI20151217002680
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 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.
21 services21 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
18 services18 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45013 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.38
Improvement Activities40
Cost100

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.

Clinic/Center (Urgent Care)
1 N BROOKWOOD AVE
HAMILTON, OH 45013
Physician Assistant
1 N BROOKWOOD AVE
HAMILTON, OH 45013
Clinic/Center (Urgent Care)
1 N BROOKWOOD AVE
HAMILTON, OH 45013

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033583976, enumerated as an "individual" on November 16, 2015.

The provider is located at 1 N BROOKWOOD AVE HAMILTON, OH 45013 and the phone number is (513) 981-4203.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Daniel Gallagher is affiliated with: MERCY HEALTH - FAIRFIELD HOSPITAL and MERCY HEALTH - WEST HOSPITAL.