GAIL FRANCES GAROFALO DPM
NPI 1134205776
Podiatrist in New Hyde Park, NY

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
50/100
CMS Quality Rating
410 LAKEVILLE RD, SUITE 303, NEW HYDE PARK, NY 11042(516) 326-4709(516) 326-8968 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gail Frances Garofalo Dpm NPPES

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

GAIL FRANCES GAROFALO DPM (NPI 1134205776) is an individual podiatrist in New Hyde Park, New York, licensed in New York (N005196-2) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Temple University School Of Podiatric Medicine (1993).

NPPES Registry Identity

NPI1134205776
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameGAIL FRANCES GAROFALOCredential: DPM
Location Address410 LAKEVILLE RD, SUITE 303New Hyde Park, NY 11042-1101
Mailing Address410 Lakeville Rd, Suite 303New Hyde Park, NY 11042-1101 · (516) 326-4709 · Fax (516) 326-8968
Fax(516) 326-8968
Sole ProprietorYes
Medical School CMSTemple University School Of Podiatric MedicineGraduated 1993
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1134205776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in NY · N005196-2
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
410 LAKEVILLE RD, New Hyde Park, NY 11042

Other Identifiers 3

Medicaid01570167NY
Medicare ID-Type UnspecifiedPG7451NY
Medicare UPINU54198NY

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

Gail Frances Garofalo Dpm 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 ID4284685405
PECOS Enrollment IDI20090831000267
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.

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.
856 services222 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.
559 services133 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
363 services103 patients
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.
49 services49 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
48 services20 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

50/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities40

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.

Neurological Surgery
410 LAKEVILLE RD, SUITE 204
NEW HYDE PARK, NY 11042
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
410 LAKEVILLE RD, SUITE 105
NEW HYDE PARK, NY 11042
Pediatrics
410 LAKEVILLE RD, SUITE 108
NEW HYDE PARK, NY 11042
Nurse Practitioner
410 LAKEVILLE RD, SUITE 107
NEW HYDE PARK, NY 11042
Anesthesiology (Pediatric Anesthesiology)
410 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Specialist
410 LAKEVILLE RD, 100
NEW HYDE PARK, NY 11042
Physician Assistant
410 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nurse Practitioner (Family)
410 LAKEVILLE RD
NEW HYDE PARK, NY 11042

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 Gail Garofalo's NPI number?

The NPI number for Gail Garofalo is 1134205776. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Gail Garofalo located?

Gail Garofalo practices at 410 Lakeville Rd Suite 303, New Hyde Park, NY 11042. The listed phone number is (516) 326-4709.

What is Gail Garofalo's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Gail Garofalo enrolled in Medicare?

Yes. Gail Garofalo 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.

Is Gail Garofalo affiliated with any hospitals?

According to CMS data, Gail Garofalo is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Gail Garofalo was last updated on July 8, 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.