JACQUELINE GALLAGHER PA
NPI 1063470557
Physician Assistant in Berlin, VT

Active since May 03, 2006PECOS Enrolled
130 FISHER RD, EMERGENCY DEPT, BERLIN, VT 05602(802) 371-4365(802) 371-4481 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Gallagher Pa NPPES

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

JACQUELINE GALLAGHER PA (NPI 1063470557) is an individual physician assistant in Berlin, Vermont, licensed in Vermont (055.0031114) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1063470557
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELINE GALLAGHERCredential: PA
Location Address130 FISHER RD, EMERGENCY DEPTBerlin, VT 05602-9516
Mailing AddressPo Box 547, Att: Cvmc Finance DeptBarre, VT 05641-0547 · (802) 371-4365 · Fax (802) 371-4481
Fax(802) 371-4481
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 3, 2006
Last NPPES UpdateDecember 15, 2014
NPI 1063470557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in VT · 055.0031114 Licensed in MA · 586
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
130 FISHER RD, Berlin, VT 05602

Other Identifiers 4

Medicare UPINP01331
Medicaid9000545VT
Medicare PINY400169263VT
Medicare PINAP033804VT

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 (PECOS)

Jacqueline Gallagher Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446270094
PECOS Enrollment IDI20051129000336, I20120118000686
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 12

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.

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.
121 services121 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.
97 services96 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.
57 services55 patients
Detection test by immunoassay technique for influenza virus 87400
An immunoassay test for influenza virus is a procedure that identifies the presence of the flu virus in your body. It uses your body's immune response to detect specific proteins (antigens) associated with the virus. This helps in early and accurate diagnosis of influenza.
48 services24 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
47 services45 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.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05602 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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.

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.

Emergency Medicine
130 FISHER RD
BERLIN, VT 05602
Internal Medicine
130 FISHER RD, MOB-B SUITE 3
BERLIN, VT 05602
Family Medicine
130 FISHER RD
BERLIN, VT 05602
Emergency Medicine
130 FISHER RD, CENTRAL VERMONT MEDICAL CENTER - EMERGENCY MEDICINE
BARRE, VT 05602
Physical Therapist
130 FISHER RD
BERLIN, VT 05602
Internal Medicine (Pulmonary Disease)
130 FISHER RD
BERLIN, VT 05602
Physician Assistant
130 FISHER RD
BERLIN, VT 05602
Internal Medicine (Clinical Cardiac Electrophysiology)
130 FISHER RD, CARDIOLOGY MOB-A SUITE 2-1
BERLIN, VT 05602

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 Jacqueline Gallagher's NPI number?

The NPI number for Jacqueline Gallagher is 1063470557. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Jacqueline Gallagher located?

Jacqueline Gallagher practices at 130 Fisher Rd Emergency Dept, Berlin, VT 05602. The listed phone number is (802) 371-4365.

What is Jacqueline Gallagher's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacqueline Gallagher enrolled in Medicare?

Yes. Jacqueline Gallagher is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Gallagher accept?

Health plans from Anthem Blue Cross and Blue Shield list Jacqueline 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 Jacqueline Gallagher was last updated on December 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.