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CAITLYN MOONEYHAM GALLAGHER
NPI 1104271030
Nurse Practitioner - Family in Raleigh, NC

Active since April 28, 2016PECOS EnrolledAccepts Medicare Assignment
3480 WAKE FOREST RD STE 310, RALEIGH, NC 27609(919) 862-5620 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caitlyn Mooneyham Gallagher NPPES

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

CAITLYN MOONEYHAM GALLAGHER (NPI 1104271030) is an individual family provider in Raleigh, North Carolina, licensed in North Carolina (5008525) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104271030
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAITLYN MOONEYHAM GALLAGHER
Location Address3480 WAKE FOREST RD STE 310Raleigh, NC 27609-7376
Mailing Address3480 Wake Forest Rd Ste 310Raleigh, NC 27609-7376 · (919) 862-5620
Phone(919) 862-5620
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 28, 2016
Last NPPES UpdateNovember 18, 2021
NPPES CertifiedNovember 18, 2021
✔ NPI 1104271030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5008525
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 266220 (NC)
3480 WAKE FOREST RD STE 310, Raleigh, NC 27609
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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

Caitlyn Mooneyham Gallagher 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 ID7315236064
PECOS Enrollment IDI20160519000107
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 3

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.

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.
305 services231 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
60 services51 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
31 suppliers592 claims592 services$35.68 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
25 suppliers274 claims274 services$83.35 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
26 suppliers262 claims764 services$32.08 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
16 suppliers188 claims1,059 services$18.03 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
21 suppliers175 claims1,010 services$13.22 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
28 suppliers418 claims418 services$51.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY MARIE JONES RN
Nurse Practitioner
3480 WAKE FOREST RD STE 310
RALEIGH, NC 27609
Wake County (919) 862-5367
AMY P STALLINGS MD
Pediatrics (Pediatric Allergy/Immunology)
3480 WAKE FOREST RD STE 310
RALEIGH, NC 27609
Wake County (919) 862-5750
MARIAM WASIM MD
Psychiatry & Neurology (Neurology)
3480 WAKE FOREST RD STE 310
RALEIGH, NC 27609
Wake County (919) 862-5620
KASEY LYNN MORRIS PA-C
Physician Assistant (Surgical)
3480 WAKE FOREST RD STE 310
RALEIGH, NC 27609
Wake County (919) 862-5650
GUANGBIN XIA MD, PHD
Psychiatry & Neurology (Neurology)
3480 WAKE FOREST RD STE 310
RALEIGH, NC 27609
Wake County (919) 668-7600
DR. LESLIE J HIGUITA MONTOYA MD
Psychiatry & Neurology (Neuromuscular Medicine)
3480 WAKE FOREST RD STE 310
RALEIGH, NC 27609
Wake County (919) 862-5620

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 Caitlyn Gallagher's NPI number?

The NPI number for Caitlyn Gallagher is 1104271030. It was assigned to this individual provider in the NPPES registry on April 28, 2016.

Where is Caitlyn Gallagher located?

Caitlyn Gallagher practices at 3480 Wake Forest Rd Ste 310, Raleigh, NC 27609. The listed phone number is (919) 862-5620.

What is Caitlyn Gallagher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Caitlyn Gallagher enrolled in Medicare?

Yes. Caitlyn 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.

What insurance does Caitlyn Gallagher accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Caitlyn 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.

Is Caitlyn Gallagher affiliated with any hospitals?

According to CMS data, Caitlyn Gallagher is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Caitlyn Gallagher was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.