JAMES JOSEPH GALLAGHER III M.D.
NPI 1053592964
Surgery - Vascular Surgery in Meriden, CT

Active since November 19, 2007PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
455 LEWIS AVE, SUITE 203, MERIDEN, CT 06451(203) 634-1900(203) 237-8441 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Joseph Gallagher Iii M.d. NPPES

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

JAMES JOSEPH GALLAGHER III M.D. (NPI 1053592964) is an individual vascular surgery provider in Meriden, Connecticut, licensed in Connecticut (50747) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1053592964
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameJAMES JOSEPH GALLAGHER IIICredential: M.D.
Location Address455 LEWIS AVE, SUITE 203Meriden, CT 06451-2121
Mailing Address455 Lewis Ave, Suite 203Meriden, CT 06451-2121 · (203) 634-1900 · Fax (203) 237-8441
Fax(203) 237-8441
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 19, 2007
Last NPPES UpdateJune 11, 2014
NPI 1053592964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CT · 50747
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 50747 (CT)
455 LEWIS AVE, Meriden, CT 06451

Other Identifiers 1

Other1053592964CT · Anthtem

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

James Joseph Gallagher Iii 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 ID1456577204
PECOS Enrollment IDI20140731000165
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 21

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.

Ultrasound of one leg arteries or artery grafts 93926
An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.
234 services219 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
221 services206 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
213 services203 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
207 services204 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
125 services121 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.
94 services76 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06451 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

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.

Internal Medicine (Gastroenterology)
455 LEWIS AVE, SUITE 106
MERIDEN, CT 06451
Urology
455 LEWIS AVE, SUITE 210
MERIDEN, CT 06451
Surgery
455 LEWIS AVE, SUITE 216
MERIDEN, CT 06451
Surgery
455 LEWIS AVE
MERIDEN, CT 06451
Internal Medicine (Gastroenterology)
455 LEWIS AVE, SUITE 106
MERIDEN, CT 06451
Clinical Medical Laboratory
455 LEWIS AVE
MERIDEN, CT 06451
Internal Medicine (Hematology & Oncology)
455 LEWIS AVE, MIDSTATE MEDICAL GROUP, PC
MERIDEN, CT 06451
Urology
455 LEWIS AVE, SUITE 210
MERIDEN, CT 06451

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 James Gallagher's NPI number?

The NPI number for James Gallagher is 1053592964. It was assigned to this individual provider in the NPPES registry on November 19, 2007.

Where is James Gallagher located?

James Gallagher practices at 455 Lewis Ave Suite 203, Meriden, CT 06451. The listed phone number is (203) 634-1900.

What is James Gallagher's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is James Gallagher enrolled in Medicare?

Yes. James 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.

When was this NPI record last updated?

The NPPES record for James Gallagher was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.