GAIL ANN PALKO NURSE PRACTITIONER
NPI 1184720922
Nurse Practitioner - Family in Somerset, PA

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
87.19/100
CMS Quality Rating
329 S PLEASANT AVENUE, SOMERSET, PA 15501(814) 445-3575(814) 445-8039 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gail Ann Palko Nurse Practitioner NPPES

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

GAIL ANN PALKO NURSE PRACTITIONER (NPI 1184720922) is an individual family provider in Somerset, Pennsylvania, licensed in Pennsylvania (VP004427B) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Upmc Somerset, and is a graduate of University Of Pittsburgh School Of Medicine (1997).

NPPES Registry Identity

NPI1184720922
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGAIL ANN PALKOCredential: NURSE PRACTITIONER
Location Address329 S PLEASANT AVENUESomerset, PA 15501
Mailing Address329 S Pleasant AvenueSomerset, PA 15501 · (814) 445-3575 · Fax (814) 445-8039
Fax(814) 445-8039
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1997
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1184720922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · VP004427B
329 S PLEASANT AVENUE, Somerset, PA 15501

Other Identifiers 2

Medicare UPINS64326
Medicare ID-Type Unspecified019692PA

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 Ann Palko Nurse Practitioner 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 ID5193864890
PECOS Enrollment IDI20091209000015
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 2

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.
53 services45 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.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Upmc Somerset

Acute Care Hospitals · Somerset, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390039
Location225 South Center AvenueSomerset, PA 15501 · Somerset County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15501 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

87.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.3
Promoting Interoperability100
Improvement Activities40
Cost67.99

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims1,728 services$0.10 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
2 suppliers13 claims13 services$110.13 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers13 claims13 services$199.99 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 4

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

Family Medicine
329 S PLEASANT AVENUE
SOMERSET, PA 15501
Surgery (Vascular Surgery)
329 S PLEASANT AVENUE
SOMERSET, PA 15501
Physician Assistant (Medical)
329 S PLEASANT AVENUE
SOMERSET, PA 15501
Pathology (Anatomic Pathology & Clinical Pathology)
329 S PLEASANT AVENUE
SOMERSET, PA 15501

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 Palko's NPI number?

The NPI number for Gail Palko is 1184720922. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Gail Palko located?

Gail Palko practices at 329 S Pleasant Avenue, Somerset, PA 15501. The listed phone number is (814) 445-3575.

What is Gail Palko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gail Palko enrolled in Medicare?

Yes. Gail Palko 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 Palko affiliated with any hospitals?

According to CMS data, Gail Palko is affiliated with Upmc Somerset.

When was this NPI record last updated?

The NPPES record for Gail Palko 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.