1. Home
  2. Directory
  3. Michigan
  4. Brighton
  5. Family Medicine
  6. NPI Profile

JAMES PATRICK GALLAGHER II DO
NPI 1154785913
Family Medicine in Brighton, MI

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
IHA PRIMARY CARE GENOA, 2305 GENOA BUSINESS PARK DRIVE, BRIGHTON, MI 48114(810) 494-6840(810) 494-6841 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2021, May 14, 2019, Aug 1, 2018 (3 updates tracked since 2018).

About James Patrick Gallagher Ii Do NPPES

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

JAMES PATRICK GALLAGHER II DO (NPI 1154785913) is an individual family medicine provider in Brighton, Michigan, licensed in Ohio (34.013706) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1154785913
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES PATRICK GALLAGHER IICredential: DO
Location AddressIHA PRIMARY CARE GENOA, 2305 GENOA BUSINESS PARK DRIVEBrighton, MI 48114
Mailing Address24 Frank Lloyd Wright Drive, Suite J2000Ann Arbor, MI 48105 · (734) 747-6766
Phone(810) 494-6840
Fax(810) 494-6841
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2016
Enumeration DateApril 7, 2016
Last NPPES UpdateApril 24, 20233 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1154785913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34.013706
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
IHA PRIMARY CARE GENOA, Brighton, MI 48114
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33Norfolk, VA 23551 · Phone (757) 836-1552
Location 27045 Lighthouse WayPerrysburg, OH 43551 · Phone (419) 873-6836
Location 32100 W Central Ave, Suite #200Toledo, OH 43606-3800 · Phone (419) 291-2340

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Patrick Gallagher Ii Do 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 ID6507157948
PECOS Enrollment IDI20230621001621
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.

Medicare Billing Reassignment

Medicare enrollment records show James Gallagher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Iha Health Services Corporation
2.9 mi
Family Medicine
2305 GENOA BUSINESS DRIVE, SUITE 200
Brighton, MI 48114
  • Reassigned Medicare billing, Michigan enrollment
  • 1,480 clinicians in this Medicare group
NPI 1164579207 (810) 494-6897

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.
255 services136 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
43 services43 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.
40 services39 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.
37 services37 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
23 services16 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230046
Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County
Emergency services Birthing friendly

Saint Joseph Mercy Livingston Hospital

Acute Care Hospitals · Howell, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230069
Location620 Byron RdHowell, MI 48843 · Livingston County
Emergency services

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48114 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 James Gallagher's NPI number?

The NPI number for James Gallagher is 1154785913. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is James Gallagher located?

James Gallagher practices at Iha Primary Care Genoa 2305 Genoa Business Park Drive, Brighton, MI 48114. The listed phone number is (810) 494-6840.

What is James Gallagher's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Gallagher enrolled in Medicare?

Yes. James Gallagher 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.

Which organization bills Medicare for James Gallagher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Gallagher reassigns Medicare benefits to Iha Health Services Corporation (Brighton, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Gallagher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Gallagher accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list James Gallagher 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 James Gallagher affiliated with any hospitals?

According to CMS data, James Gallagher is affiliated with University Of Michigan Health System, Saint Joseph Mercy Livingston Hospital and Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for James Gallagher was last updated on April 24, 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.