DR. KENNETH B GALLMORE II D.O.
NPI 1124004817
Internal Medicine in Farmington Hills, MI

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment
84.72/100
CMS Quality Rating
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336(947) 521-8000 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth B Gallmore Ii D.o. NPPES

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

DR. KENNETH B GALLMORE II D.O. (NPI 1124004817) is an individual internal medicine provider in Farmington Hills, Michigan, licensed in Michigan (5101013600) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Straith Hospital For Special Surgery, and maintains a secondary practice location in Westland.

NPPES Registry Identity

NPI1124004817
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KENNETH B GALLMORE IICredential: D.O.
Location Address28050 GRAND RIVER AVEFarmington Hills, MI 48336-5919
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 15, 2005
Last NPPES UpdateFebruary 14, 2022
NPPES CertifiedFebruary 14, 2022
NPI 1124004817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 5101013600
Definition

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.

28050 GRAND RIVER AVE, Farmington Hills, MI 48336

Secondary Practice Location 1

Location 16149 N Wayne RdWestland, MI 48185-7128 · Phone (734) 728-4141 · Fax (734) 728-2626

Other Identifiers 3

Other700H219150MI · Blue Shield
Other700F314390MI · Blue Shield
Medicaid1124004817MI

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. Kenneth B Gallmore Ii D.o. 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 ID9537135595
PECOS Enrollment IDI20040909001312
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
314 services106 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
263 services88 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
121 services92 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
115 services95 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services28 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Straith Hospital For Special Surgery

Acute Care Hospitals · Southfield, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230071
Location23901 LahserSouthfield, MI 48033 · Oakland County

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48336 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

84.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost68.39

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%303 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$4.47 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims550 services$0.21 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$9.06 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier16 claims16 services$52.88 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 20

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

Registered Nurse (Diabetes Educator)
28050 GRAND RIVER AVE, TRACC
FARMINGTON HILLS, MI 48336
Occupational Therapist
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Nurse Practitioner
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Nurse Practitioner (Family)
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Emergency Medicine
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Family Medicine
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Internal Medicine
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Radiology (Diagnostic Radiology)
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336

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 Kenneth Gallmore's NPI number?

The NPI number for Kenneth Gallmore is 1124004817. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Kenneth Gallmore located?

Kenneth Gallmore practices at 28050 Grand River Ave, Farmington Hills, MI 48336. The listed phone number is (947) 521-8000.

What is Kenneth Gallmore's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kenneth Gallmore enrolled in Medicare?

Yes. Kenneth Gallmore 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 Kenneth Gallmore accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kenneth Gallmore 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 Kenneth Gallmore affiliated with any hospitals?

According to CMS data, Kenneth Gallmore is affiliated with Straith Hospital For Special Surgery and Beaumont Hospital - Farmington Hills.

When was this NPI record last updated?

The NPPES record for Kenneth Gallmore was last updated on February 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.