TERESA GALLO-THYS DO
NPI 1104137207
Internal Medicine in Boynton Beach, FL

NPI Status: Active since June 24, 2010

Contact Information

2300 S CONGRESS AVE STE 105
BOYNTON BEACH, FL
ZIP 33426
Phone: (561) 203-5282
Fax: (740) 212-8513

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  • Individual
  • Female
  • Internal Medicine
  • PECOS Enrolled

About TERESA GALLO-THYS

Teresa Gallo-thys is an internist established in Boynton Beach, Florida and her medical specialization is Internal Medicine. The healthcare provider is registered in the NPI registry with number 1104137207 assigned on June 2010. The practitioner's primary taxonomy code is 207R00000X with license number OS13449 (FL). The provider is registered as an individual and her NPI record was last updated April 2024.

NPI
1104137207
Provider Name
TERESA GALLO-THYS DO
Other Name
TERESA GALLO D.O.
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
2300 S CONGRESS AVE STE 105 BOYNTON BEACH, FL 33426
Location Phone
(561) 203-5282
Location Fax
(740) 212-8513
Mailing Address
6615 W BOYNTON BEACH BLVD STE 412 BOYNTON BEACH, FL 33437
Mailing Phone
(561) 882-4541
Mailing Fax
(740) 212-8513
Is Sole Proprietor?
No
Enumeration Date
06-24-2010
Last Update Date
04-16-2024
Code Navigator

An internist like Teresa Gallo-thys is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
OS13449
License State
FL
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208M00000XAllopathic & Osteopathic Physicians

Hospitalist

E-7902 (AR)
2208M00000XAllopathic & Osteopathic Physicians

Hospitalist

OS13449 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Cigna Healthcare

    • Connect Bronze 0 Indiv Med Deductible - EPO
    • Connect Bronze 5500 Indiv Med Deductible - EPO
    • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
    • Connect Bronze 8500 Indiv Med Deductible - EPO
    • Connect Bronze CMS Standard - EPO
    • Connect Gold 2500 Indiv Med Deductible - EPO
    • Connect Gold 500 Indiv Med Deductible - EPO
    • Connect Gold CMS Standard - EPO
    • Connect Silver 3000 Indiv Med Deductible - EPO
    • Connect Silver 4000 Indiv Med Deductible - EPO
  • Florida Blue (BlueCross BlueShield FL)

    • BlueOptions Bronze (HSA) 24J01-10 (Rewards $$$ / $4 Condition Care Rx) - PPO
    • BlueOptions Bronze 24J01-04 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-06 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-17 ($0 Virtual Visits / $50 PCP Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards $$$) - PPO
    • BlueOptions Gold 24J01-09 ($0 Virtual Visits / $20 PCP Visits / $15 Generic Meds / Rewards $$$) - PPO
    • BlueOptions Gold 24J01-12 ($0 Virtual Visits / $20 Labs / Rewards $$$) - PPO
    • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards $$$) - PPO
    • BlueOptions Platinum 24J01-05 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Platinum 24J01-08 ($0 Virtual Visits / Rewards $$$) - PPO
  • Molina Healthcare

    • Bronze 4 - HMO
    • Bronze 8 - HMO
    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Silver 1 - HMO
    • Silver 1 with Adult Vision Services - HMO
    • Silver 12 with First 4 Primary Care Visits Free - HMO
    • Silver 8 - HMO
    • Silver 9 - HMO
  • Oscar Health Plan, Inc.

    • Bronze Classic (Choice) - HMO
    • Bronze Classic 4700 (Choice) - HMO
    • Bronze Classic 4700 (Select) - HMO
    • Bronze Classic PCP Saver Plus Rx Copay (Choice) - HMO
    • Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
    • Bronze Classic Standard (Choice) - HMO
    • Bronze Classic Standard (Select) - HMO
    • Bronze Elite + PCP Saver Plus (Choice) - HMO
    • Bronze Elite + PCP Saver Plus (Select) - HMO
    • Gold Classic Standard (Choice) - HMO
  • Oscar Insurance Company

    • Bronze Classic - EPO
    • Bronze Classic | MercyOne - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic 4700 | MercyOne - EPO
    • Bronze Classic PCP Saver Plus - EPO
    • Bronze Classic PCP Saver Plus | MercyOne - EPO
    • Bronze Classic Standard - EPO
    • Bronze Classic Standard | MercyOne - EPO
    • Bronze Elite + PCP Saver Plus - EPO
    • Bronze Elite + PCP Saver Plus | MercyOne - EPO
  • Oscar Insurance Company of Florida

    • Bronze Classic - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic Standard - EPO
    • Bronze Elite + PCP Saver Plus - EPO
    • Bronze Elite + Specialist Saver Plus - EPO
    • Bronze Elite Saver Plus - EPO
    • Gold Classic - EPO
    • Gold Classic Standard - EPO
    • Gold Elite - EPO
    • Gold Elite Saver Plus - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Teresa Gallo-thys is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 33426 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $141.52
  • Minimum New Patient Price $61.36
  • Maximum New Patient Price $187
  • Average New Patient Copayment $35.38
  • Minimum New Patient Copayment $15.34
  • Maximum New Patient Copayment $46.75

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $108.36
  • Minimum Established Patient Price $18.68
  • Maximum Established Patient Price $151.65
  • Average Established Patient Copayment $27.09
  • Minimum Established Patient Copayment $4.67
  • Maximum Established Patient Copayment $37.91

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104137207
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104231420
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 2 + 3 + 1 + 4 + 2 + 0 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1104137207 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114783479ELITE WELLNESS INTERNAL MEDICINE INC
Organization
Internal Medicine2300 S CONGRESS AVE STE 105
BOYNTON BEACH, FL 33426
(561) 203-5282

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104137207, enumerated in the NPI registry as an "individual" on June 24, 2010

The provider is located at 2300 S Congress Ave Ste 105 Boynton Beach, Fl 33426 and the phone number is (561) 203-5282

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Cigna Healthcare, Florida Blue (BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $141.52 with an average copayment of $35.38 for new patient appointments. Established patients should expect a typical charge of $108.36 and an average copayment of 27.09. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 24, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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