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

Q: 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.

Q: What is James Gallagher's specialty?

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

Q: 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.

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: October 25, 2026.

On this page

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

Phone(203) 634-1900

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)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

455 LEWIS AVE, Meriden, CT 06451

Open in Google Maps ↗

Other Identifiers 1

Other1053592964CT · Anthtem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show James Gallagher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hartford Healthcare Medical Group, Inc

12 mi

Surgery

1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
Wethersfield, CT 06109

Reassigned Medicare billing, Connecticut enrollment
747 clinicians in this Medicare group

NPI 1043561301 (860) 972-9033

Hartford Healthcare Medical Group Specialists, PLLC

15 mi

Surgery

85 SEYMOUR ST STE 415
Hartford, CT 06106

Reassigned Medicare billing, Connecticut enrollment
1,921 clinicians in this Medicare group

NPI 1023584216 (860) 246-2071

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Ultrasound of both sides of head and neck blood flow 93880

53 services53 patients

Ultrasound of one leg arteries or artery grafts 93926

42 services41 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

42 services40 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.

36 services36 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

32 services28 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

25 services25 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

25 services25 patients

Ultrasound study of arm and leg arteries 93922

23 services22 patients

Complete ultrasound study of arm and leg arteries 93923

23 services23 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.

23 services23 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

13 services13 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

12 services12 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.

12 services12 patients

Review by radiologist of abdominal aorta image 75625

This is a procedure where a radiologist, a doctor specialized in medical imaging, examines an image of your abdominal aorta. The abdominal aorta is the large blood vessel that carries blood to your lower body. The radiologist checks for any abnormalities to ensure your overall vascular health.

11 services11 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

11 services11 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

Quality

79.28

Promoting Interoperability

100

Improvement Activities

Cost

59.59

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.

KEVIN JO M.D.

Internal Medicine (Gastroenterology)

455 LEWIS AVE, SUITE 106
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 886-0036

CONNECTICUT SURGICAL GROUP, PC

Urology

455 LEWIS AVE, SUITE 210
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 238-1241

DR. AURANGZEB A ALI M.D.

Surgery

455 LEWIS AVE, SUITE 216
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 634-0134

LOUIS MEYER MD

Surgery

455 LEWIS AVE
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 238-2691

GARY MARK COHEN M.D.

Internal Medicine (Gastroenterology)

455 LEWIS AVE, SUITE 106
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 886-0036

MEDICAL ONCOLOGY & HEMATOLOGY PC

Clinical Medical Laboratory

455 LEWIS AVE
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 238-7747

SUSAN ALSAMARAI MD

Internal Medicine (Hematology & Oncology)

455 LEWIS AVE, MIDSTATE MEDICAL GROUP, PC
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 238-7747

UROLOGICAL ASSOCIATES OF CENTRAL CT

Urology

455 LEWIS AVE, SUITE 210
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 238-1241

AZIZ BENBRAHIM MD

Surgery

455 LEWIS AVE
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 238-2691

ROBERT F MORRISON M.D.

Urology

455 LEWIS AVE, STE 210
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 238-1241

LAURA M WELSH P.T.

Physical Therapist

455 LEWIS AVE, SUITE 101
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 935-0463

KATHRYN E JACK APRN

Nurse Practitioner (Adult Health)

455 LEWIS AVE, SUITE 106
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 886-0036

DR. CHARLES C.S. KIM M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

455 LEWIS AVE, SUITE 212
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 237-8855

MADHAVI BHOOMAGOUD MD

Internal Medicine (Gastroenterology)

455 LEWIS AVE, SUITE 105
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 237-2477

HARTFORD CLINICAL ASSOCIATES, PC

Durable Medical Equipment & Medical Supplies

455 LEWIS AVE, SUITE 210
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 238-1241

DR. JONATHAN E HASSON M.D., P.A.

Surgery (Vascular Surgery)

455 LEWIS AVE, SUITE 203
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 634-1900

DOUGLAS T MILLER M.D.

Internal Medicine (Gastroenterology)

455 LEWIS AVE, SUITE 106
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 886-0036

HARTFORD HEALTHCARE MEDICAL GROUP, INC

Durable Medical Equipment & Medical Supplies

455 LEWIS AVE, STE. 210
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 238-1241

GARY F TANSINO MD

Internal Medicine (Hematology & Oncology)

455 LEWIS AVE, SUITE 102
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 238-7747

DR. ALI HEMDAN MD

Internal Medicine (Pulmonary Disease)

455 LEWIS AVE, SUITE 206
MERIDEN, CT 06451

South Central Connecticut Planning Region (203) 238-9446

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.

Which organizations bill Medicare for James Gallagher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Gallagher reassigns Medicare benefits to 2 organizations: Hartford Healthcare Medical Group, Inc (Wethersfield, CT) and Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Gallagher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Gallagher accept?

Health plans from Anthem Blue Cross and Blue Shield list James 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.

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.