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JOHN R GALLAHER O.D.
NPI 1205837234
Optometrist in Lebanon, TN

Active since August 01, 2005PECOS EnrolledAccepts Medicare Assignment
401 W MAIN ST STE 101, LEBANON, TN 37087(615) 444-9111(615) 444-1040 Get Directions Write a Review

NPPES record last updated: November 20, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About John R Gallaher O.d. NPPES

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

JOHN R GALLAHER O.D. (NPI 1205837234) is an individual optometrist in Lebanon, Tennessee, licensed in Tennessee (ODT1493) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1993).

NPPES Registry Identity

NPI1205837234
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOHN R GALLAHERCredential: O.D.
Location Address401 W MAIN ST STE 101Lebanon, TN 37087-3555
Mailing Address401 W Main St, Ste 102Lebanon, TN 37087-3584 · (615) 444-9111 · Fax (615) 444-1040
Phone(615) 444-9111
Fax(615) 444-1040
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 1993
Enumeration DateAugust 1, 2005
Last NPPES UpdateNovember 20, 2018
✔ NPI 1205837234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TN · ODT1493
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
401 W MAIN ST STE 101, Lebanon, TN 37087
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Other Identifiers 3

Other261354605TN · Default
Other4165732TN · Bcbs
Medicaid3599128TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

John R Gallaher O.d. 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 ID2860573235
PECOS Enrollment IDI20080111000453
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 4

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.
190 services190 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.
44 services41 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.
13 services12 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37087 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES

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

GALLAHER EYECARE
Optometrist
401 W MAIN ST STE 101
LEBANON, TN 37087
Wilson County (615) 444-9111

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 John Gallaher's NPI number?

The NPI number for John Gallaher is 1205837234. It was assigned to this individual provider in the NPPES registry on August 1, 2005.

Where is John Gallaher located?

John Gallaher practices at 401 W Main St Ste 101, Lebanon, TN 37087. The listed phone number is (615) 444-9111.

What is John Gallaher's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is John Gallaher enrolled in Medicare?

Yes. John Gallaher 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.

What insurance does John Gallaher accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list John Gallaher 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.

When was this NPI record last updated?

The NPPES record for John Gallaher was last updated on November 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.