KATHERINE A GALIAS APRN
NPI 1043230279
Nurse Practitioner - Adult Health in Crystal Lake, IL

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
97.28/100
CMS Quality Rating
1095 PINGREE RD, SUITE 108, CRYSTAL LAKE, IL 60014(815) 459-6655(847) 658-9922 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katherine A Galias Aprn NPPES

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

KATHERINE A GALIAS APRN (NPI 1043230279) is an individual adult health provider in Crystal Lake, Illinois, licensed in Illinois (277000683) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043230279
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATHERINE A GALIASCredential: APRN
Location Address1095 PINGREE RD, SUITE 108Crystal Lake, IL 60014-1725
Mailing Address1095 Pingree Rd, Suite 108Crystal Lake, IL 60014-1725 · (815) 459-6655 · Fax (847) 658-9922
Fax(847) 658-9922
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 20, 2006
Last NPPES UpdateSeptember 21, 2023
NPPES CertifiedSeptember 20, 2023
NPI 1043230279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in IL · 277000683
1095 PINGREE RD, Crystal Lake, IL 60014

Secondary Practice Locations 2

Location 13922 Mercy DrMcHenry, IL 60050-3179 · Phone (815) 344-4499
Location 2875 S Route 31Crystal Lake, IL 60014-8190 · Phone (779) 220-5500

Other Identifiers 1

Other277000683IL · Full Practice Authority

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

Katherine A Galias Aprn 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 ID8527091529
PECOS Enrollment IDI20050912000128
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 5

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.
61 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 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.
30 services23 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
11 services11 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Mercyhealth Hospital & Physician Clinic-Crystal La

Acute Care Hospitals · Crystal Lake, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140308
Location875 S Route 31Crystal Lake, IL 60014 · Mc Henry County
Emergency services

Mercy Harvard Hospital

Critical Access Hospitals · Harvard, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141335
Location901 S Grant StreetHarvard, IL 60033 · Mc Henry County
Emergency services

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521357
LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60014 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

97.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.78
Promoting Interoperability98.23
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers28 claims28 services$184.60 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 20

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

Pharmacy (Community/Retail Pharmacy)
1095 PINGREE RD
CRYSTAL LAKE, IL 60014
Veterinarian
1095 PINGREE RD, SUITE 120
CRYSTAL LAKE, IL 60014
Speech-Language Pathologist
1095 PINGREE RD, SUITE 119
CRYSTAL LAKE, IL 60014
Social Worker (Clinical)
1095 PINGREE RD
CRYSTAL LAKE, IL 60014
Nurse Practitioner (Acute Care)
1095 PINGREE RD, SUITE 108
CRYSTAL LAKE, IL 60014
Family Medicine
1095 PINGREE RD, SUITE 108
CRYSTAL LAKE, IL 60014
Speech-Language Pathologist
1095 PINGREE RD, SUITE 119
CRYSTAL LAKE, IL 60014
Nurse Practitioner (Family)
1095 PINGREE RD, SUITE 108
CRYSTAL LAKE, IL 60014

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 Katherine Galias's NPI number?

The NPI number for Katherine Galias is 1043230279. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Katherine Galias located?

Katherine Galias practices at 1095 Pingree Rd Suite 108, Crystal Lake, IL 60014. The listed phone number is (815) 459-6655.

What is Katherine Galias's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Katherine Galias enrolled in Medicare?

Yes. Katherine Galias 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 Katherine Galias accept?

Health plans from MercyCare Health Plans list Katherine Galias 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 Katherine Galias affiliated with any hospitals?

According to CMS data, Katherine Galias is affiliated with Northwestern Medicine Mchenry, Mercyhealth Hospital & Physician Clinic-Crystal La, Mercy Harvard Hospital, Mercy Health System Corp and Mercy Walworth Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Katherine Galias was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.