DR. JOHN THOMAS GALLEN MD
NPI 1114993656
Internal Medicine - Endocrinology, Diabetes & Metabolism in Medford, OR

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
83.78/100
CMS Quality Rating
691 MURPHY ROAD, SUITE 107, MEDFORD, OR 97504(541) 789-6460(541) 789-6461 Get Directions Write a Review

NPPES record last updated: October 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Thomas Gallen Md NPPES

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

DR. JOHN THOMAS GALLEN MD (NPI 1114993656) is an individual endocrinology, diabetes & metabolism provider in Medford, Oregon, licensed in Oregon (MD24846) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1999).

NPPES Registry Identity

NPI1114993656
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. JOHN THOMAS GALLENCredential: MD
Location Address691 MURPHY ROAD, SUITE 107Medford, OR 97504
Mailing Address2620 East Barnett Road, Suite HMedford, OR 97504-8383 · (541) 789-4281 · Fax (541) 789-5538
Fax(541) 789-6461
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1999
Enumeration DateFebruary 24, 2006
Last NPPES UpdateOctober 5, 2015
NPI 1114993656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in OR · MD24846
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
691 MURPHY ROAD, Medford, OR 97504

Other Identifiers 1

Medicare UPINH67709OR

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 and accepts Medicare assignment

Dr. John Thomas Gallen Md 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 ID3173513413
PECOS Enrollment IDI20040517001435
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 10

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.
452 services399 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.
286 services271 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
89 services72 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
65 services56 patients
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.
51 services51 patients
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.
35 services35 patients

Hospital Affiliations CMS Care Compare 4

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Asante Ashland Community Hospital

Acute Care Hospitals · Ashland, OR
OwnershipGovernment - Local
CMS Certification Number380005
Location280 Maple StreetAshland, OR 97520 · Jackson County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Sky Lakes Medical Center

Acute Care Hospitals · Klamath Falls, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380050
Location2865 Daggett AvenueKlamath Falls, OR 97601 · Klamath County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.08
Promoting Interoperability100
Improvement Activities40
Cost63.86

Referred Medical Equipment & Supplies CMS DME claims 9

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
12 suppliers161 claims1,999 services$18.15 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
12 suppliers163 claims5,080 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
35 suppliers199 claims784 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers38 claims90 services$1.01 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
4 suppliers12 claims24 services$61.41 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
6 suppliers103 claims103 services$309.18 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.

Obstetrics & Gynecology (Gynecology)
691 MURPHY ROAD, SUITE #202
MEDFORD, OR 97504
Physician Assistant
691 MURPHY ROAD, SUITE 107
MEDFORD, OR 97504
Family Medicine
691 MURPHY ROAD, SUITE 107
MEDFORD, OR 97504
Obstetrics & Gynecology (Gynecology)
691 MURPHY ROAD, SUITE #202
MEDFORD, OR 97504
Pediatrics
691 MURPHY ROAD, SUITE 122
MEDFORD, OR 97504
Physician Assistant
691 MURPHY ROAD, SUITE 122
MEDFORD, OR 97504

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 John Gallen's NPI number?

The NPI number for John Gallen is 1114993656. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is John Gallen located?

John Gallen practices at 691 Murphy Road Suite 107, Medford, OR 97504. The listed phone number is (541) 789-6460.

What is John Gallen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is John Gallen enrolled in Medicare?

Yes. John Gallen 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 John Gallen accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list John Gallen 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 John Gallen affiliated with any hospitals?

According to CMS data, John Gallen is affiliated with Asante Three Rivers Medical Center, Asante Ashland Community Hospital, Asante Rogue Regional Medical Center and Sky Lakes Medical Center.

When was this NPI record last updated?

The NPPES record for John Gallen was last updated on October 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.