COURTNEY HELENE GALY PA-C, RDN
NPI 1124607007
Physician Assistant in Norton Shores, MI

NPI Status: Active since April 06, 2021

Contact Information

3570 HENRY ST STE 120
NORTON SHORES, MI
ZIP 49441
Phone: (231) 672-7000
Fax: (231) 728-5041

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  • Individual
  • Female
  • Years of Experience 4
  • Physician Assistant
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About COURTNEY GALY

Courtney Galy is a primary care provider established in Norton Shores, Michigan and her medical specialization is Physician Assistant with more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1124607007 assigned on April 2021. The practitioner's primary taxonomy code is 363A00000X with license number 5601010403 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1124607007
Provider Name
COURTNEY HELENE GALY PA-C, RDN
Other Name
COURTNEY HELENE TERRYN
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
3570 HENRY ST STE 120 NORTON SHORES, MI 49441
Location Phone
(231) 672-7000
Location Fax
(231) 728-5041
Mailing Address
1223 MERCY DR MUSKEGON, MI 49444
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
04-06-2021
Last Update Date
05-22-2023
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A primary care provider (PCP) like Courtney Galy sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Courtney Galy is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.79 for a new patient copayment and $17.7 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5601010403
License State
MI
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1133V00000XDietary & Nutritional Service Providers

Dietitian, Registered

(MI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Care Network of Michigan

    • Blue Cross® Preferred HMO Bronze - HMO
    • Blue Cross® Preferred HMO Bronze Extra - HMO
    • Blue Cross® Preferred HMO Bronze Saver HSA - HMO
    • Blue Cross® Preferred HMO Bronze Secure - HMO
    • Blue Cross® Preferred HMO Gold - HMO
    • Blue Cross® Preferred HMO Gold Extra - HMO
    • Blue Cross® Preferred HMO Silver - HMO
    • Blue Cross® Preferred HMO Silver Extra - HMO
    • Blue Cross® Preferred HMO Silver Saver - HMO
    • Blue Cross® Preferred HMO Value - HMO
    • Blue Cross® Select HMO Bronze - HMO
    • Blue Cross® Select HMO Bronze Extra - HMO
    • Blue Cross® Select HMO Bronze Saver HSA - HMO
    • Blue Cross® Select HMO Bronze Secure - HMO
    • Blue Cross® Select HMO Silver - HMO
  • Blue Cross Blue Shield of Michigan Mutual Insurance Company

    • Blue Cross® Premier PPO Bronze Extra - PPO
    • Blue Cross® Premier PPO Bronze HSA - PPO
    • Blue Cross® Premier PPO Bronze Secure - PPO
    • Blue Cross® Premier PPO Gold - PPO
    • Blue Cross® Premier PPO Gold Extra - PPO
    • Blue Cross® Premier PPO Silver - PPO
    • Blue Cross® Premier PPO Silver Extra - PPO
    • Blue Cross® Premier PPO Silver Saver HSA - PPO
    • Blue Cross® Premier PPO Value - PPO
  • Molina Healthcare

    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Silver 1 - HMO
    • Silver 1 with Adult Vision Services - HMO
    • Silver 12 with First 4 Primary Care Visits Free - HMO
    • Silver 8 - HMO
  • Oscar Insurance Company

    • Bronze Classic - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic Standard - EPO
    • Bronze Elite + PCP Saver Plus - EPO
    • Bronze Simple 2 - EPO
    • Gold Classic Standard - EPO
    • Gold Elite Saver Plus - EPO
    • Secure - EPO
    • Silver Classic - EPO
    • Silver Classic Standard - EPO
    • Silver Elite Saver Plus - EPO
    • Silver Simple PCP Saver - EPO
  • Priority Health

    • MyPriority Balanced Silver - HMO
    • MyPriority Premier Silver - HMO
    • MyPriority Standard Bronze - HMO
    • MyPriority Standard Bronze - Travel - HMO
    • MyPriority Standard Gold - HMO
    • MyPriority Standard Silver - HMO
    • MyPriority Standard Silver - Travel - HMO
    • MyPriority Value Bronze - HMO
    • MyPriority Value Bronze HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Courtney Galy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7315341484

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210811002838

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 49441 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.16
  • Minimum New Patient Price $56.39
  • Maximum New Patient Price $172.8
  • Average New Patient Copayment $21.79
  • Minimum New Patient Copayment $14.09
  • Maximum New Patient Copayment $43.2

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.8
  • Minimum Established Patient Price $17.24
  • Maximum Established Patient Price $140.86
  • Average Established Patient Copayment $17.7
  • Minimum Established Patient Copayment $4.31
  • Maximum Established Patient Copayment $35.21

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Courtney Galy is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MERCY HEALTH HACKLEY CAMPUS125 E SOUTHERN
MUSKEGON, MI 49442
(231) 726-3511Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124607007
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21441201400
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 2 + 0 + 1 + 4 + 0 + 0 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1124607007 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922445022DR. JENNIFER KAY DULANEY D.O.
Individual
Family Medicine3570 HENRY ST STE 120
NORTON SHORES, MI 49441
(231) 672-7000
1710957790DR. ANTOINETTE MARIE HILDWEIN D.O.
Individual
Family Medicine3570 HENRY ST STE 120
NORTON SHORES, MI 49441
(213) 672-7000
1013994870 MICHAEL BANKA MD
Individual
Family Medicine3570 HENRY ST STE 120
NORTON SHORES, MI 49441
(231) 672-7000
1972174951 SARAH J BERTUS PA-C
Individual
Physician Assistant3570 HENRY ST STE 120
NORTON SHORES, MI 49441
(231) 672-7000
1174924948 ALICIA A GAPPA NP
Individual
Nurse Practitioner3570 HENRY ST STE 120
NORTON SHORES, MI 49441
(231) 672-7000
1609853498 ELAINE SCHMIDT MD
Individual
Family Medicine3570 HENRY ST STE 120
NORTON SHORES, MI 49441
(231) 672-7000
1689151680MR. MATTHEW KEITH ELLER CNP
Individual
Nurse Practitioner (Family)3570 HENRY ST STE 120
NORTON SHORES, MI 49441
(231) 672-7000
1851617708MR. TIMOTHY JON BUNING MA, LPC CAADC
Individual
Counselor (Professional)3570 HENRY ST STE 120
NORTON SHORES, MI 49441
(231) 672-7000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124607007, enumerated in the NPI registry as an "individual" on April 06, 2021

The provider is located at 3570 Henry St Ste 120 Norton Shores, Mi 49441 and the phone number is (231) 672-7000

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider has more than 4 years of experience.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 17, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $87.16 with an average copayment of $21.79 for new patient appointments. Established patients should expect a typical charge of $70.8 and an average copayment of 17.7. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): MERCY HEALTH HACKLEY CAMPUS. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 06, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.