DR. REBECCA Z GALLAGHER MD
NPI 1063583300
Family Medicine in Hartland, WI

Active since November 10, 2006Opted out of Medicare · through Jan 1, 2028
4607 VETTELSON ROAD, HARTLAND, WI 53029(262) 367-1717 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2020, Mar 17, 2018, Sep 19, 2017 (3 updates tracked since 2017).

About Dr. Rebecca Z Gallagher Md NPPES

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

DR. REBECCA Z GALLAGHER MD (NPI 1063583300) is an individual family medicine provider in Hartland, Wisconsin, licensed in Wisconsin (50254) and active in the NPI registry since November 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer and maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1063583300
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. REBECCA Z GALLAGHERCredential: MD
Location Address4607 VETTELSON ROADHartland, WI 53029
Mailing Address32645 West Esker LnNashotah, WI 53058 · (262) 367-1717 · Fax (262) 458-4547
Sole ProprietorYes
Enumeration DateNovember 10, 2006
Last NPPES UpdateSeptember 11, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
NPI 1063583300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 50254
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4607 VETTELSON ROAD, Hartland, WI 53029

Secondary Practice Location 1

Location 1125 Hospital DrWatertown, WI 53098-3303 · Phone (920) 262-4570

Other Identifiers 1

Medicaid1063583300WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Rebecca Z Gallagher Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53029 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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 Rebecca Gallagher's NPI number?

The NPI number for Rebecca Gallagher is 1063583300. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Rebecca Gallagher located?

Rebecca Gallagher practices at 4607 Vettelson Road, Hartland, WI 53029. The listed phone number is (262) 367-1717.

What is Rebecca Gallagher's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rebecca Gallagher enrolled in Medicare?

No. Rebecca Gallagher has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Rebecca Gallagher was last updated on September 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.