SHANNON JAMES GALLAGHER MD, MPH
NPI 1124523667
Surgery in Sturgeon Bay, WI

Q: What is Shannon Gallagher's NPI number?

The NPI number for Shannon Gallagher is 1124523667. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Q: What is Shannon Gallagher's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Gallagher was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment

1843 MICHIGAN ST, STURGEON BAY, WI 54235(920) 746-1060 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2023, May 23, 2023, Mar 27, 2018 (3 updates tracked since 2018).

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About Shannon James Gallagher Md, Mph NPPES

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

SHANNON JAMES GALLAGHER MD, MPH (NPI 1124523667) is an individual surgery provider in Sturgeon Bay, Wisconsin, licensed in Wisconsin (82364-20) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Door County Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (2018).

NPPES Registry Identity

NPI1124523667

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameSHANNON JAMES GALLAGHERCredential: MD, MPH

Location Address1843 MICHIGAN STSturgeon Bay, WI 54235-1007

Mailing Address323 S 18th AveSturgeon Bay, WI 54235-1401 · (920) 743-5566

Phone(920) 746-1060

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2018

Enumeration DateMarch 27, 2018

Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration

NPPES CertifiedJuly 27, 2023

✔ NPI 1124523667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in WI · 82364-20

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1843 MICHIGAN ST, Sturgeon Bay, WI 54235

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health 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

Shannon James Gallagher Md, Mph 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 ID1153679121

PECOS Enrollment IDI20230815004150

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 5

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

34 services34 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.

33 services31 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.

24 services20 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.

24 services22 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.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521358

Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54235 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Debbie March 7, 2024

5/5

Dr. G. Is kind and informed. He explained my procedure in detail. Very pleased

Provider 5/5 Office Staff 5/5

Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 7

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

DR. MICHAEL R. ST JEAN M.D.

Surgery