FRED J GALLUCCIO M.D.
NPI 1104934397
Family Medicine in Newport Beach, CA

Active since August 28, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0712088 · Microscopy
901 DOVER DR, STE 102, NEWPORT BEACH, CA 92660(949) 646-4865(949) 646-7716 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fred J Galluccio M.d. NPPES

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

FRED J GALLUCCIO M.D. (NPI 1104934397) is an individual family medicine provider in Newport Beach, California, licensed in California (G43026) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 31, 2026, and is a graduate of University Of California, Irvine, California College Of Medicine (1979).

NPPES Registry Identity

NPI1104934397
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFRED J GALLUCCIOCredential: M.D.
Location Address901 DOVER DR, STE 102Newport Beach, CA 92660-5538
Mailing Address901 Dover Dr, Ste 102Newport Beach, CA 92660-5538 · (949) 646-4865 · Fax (949) 646-7716
Fax(949) 646-7716
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1979
Enumeration DateAugust 28, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1104934397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G43026
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.
901 DOVER DR, Newport Beach, CA 92660

Other Identifiers 1

Medicare UPINA49201

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

Fred J Galluccio 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 ID6507759008
PECOS Enrollment IDI20110314000557
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0712088

Fred Galluccio MD & Assoc Inc · Newport Beach, CA
Active · expires Aug 31, 2026
CLIA Number05D0712088
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorFred J. Galluccio
Laboratory Phone(949) 646-4865
Laboratory LocationFred Galluccio MD & Assoc Inc901 Dover Drive Suite 102, Newport Beach, CA 92660
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 16

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 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.
284 services92 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.
233 services88 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
80 services48 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
74 services30 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.
71 services45 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
68 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 10

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

Chiropractor
901 DOVER DR, SUITE 234
NEWPORT BEACH, CA 92660
Chiropractor
901 DOVER DR, SUITE 234
NEWPORT BEACH, CA 92660
Optometrist (Vision Therapy)
901 DOVER DR, STE. 100
NEWPORT BEACH, CA 92660
Family Medicine
901 DOVER DR, STE 102
NEWPORT BEACH, CA 92660
Internal Medicine (Gastroenterology)
901 DOVER DR, SUITE 122
NEWPORT BEACH, CA 92660
Psychiatry & Neurology (Addiction Psychiatry)
901 DOVER DR, SUITE 204
NEWPORT BEACH, CA 92660
Nurse Practitioner (Family)
901 DOVER DR
NEWPORT BEACH, CA 92660
Obstetrics & Gynecology (Gynecology)
901 DOVER DR, SUITE 214
NEWPORT BEACH, CA 92660

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 Fred Galluccio's NPI number?

The NPI number for Fred Galluccio is 1104934397. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Fred Galluccio located?

Fred Galluccio practices at 901 Dover Dr Ste 102, Newport Beach, CA 92660. The listed phone number is (949) 646-4865.

What is Fred Galluccio's specialty?

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

Is Fred Galluccio enrolled in Medicare?

Yes. Fred Galluccio 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.

Does Fred Galluccio hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0712088) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fred Galluccio was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.