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LUPITA CATRINA GALLARDO M.D.
NPI 1215270111
Family Medicine in Palm Harbor, FL

Active since March 29, 2013PECOS EnrolledAccepts Medicare Assignment
2931 ALT 19, PALM HARBOR, FL 34683(727) 785-2298(813) 635-7944 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 28, 2022, Nov 3, 2016 (2 updates tracked since 2016).

About Lupita Catrina Gallardo M.d. NPPES

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

LUPITA CATRINA GALLARDO M.D. (NPI 1215270111) is an individual family medicine provider in Palm Harbor, Florida, licensed in Florida (ME157471) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Mease Dunedin Hospital, and maintains a secondary practice location in Waukegan.

NPPES Registry Identity

NPI1215270111
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLUPITA CATRINA GALLARDOCredential: M.D.
Location Address2931 ALT 19Palm Harbor, FL 34683-1928
Mailing Address2931 Alt 19Palm Harbor, FL 34683-1928 · (727) 785-2298 · Fax (813) 635-7944
Phone(727) 785-2298
Fax(813) 635-7944
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2013
Enumeration DateMarch 29, 2013
Last NPPES UpdateOctober 28, 20222 updates tracked since enumeration
NPPES CertifiedOctober 28, 2022
✔ NPI 1215270111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME157471✔ Licensed in IL · 036139803
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.
2931 ALT 19, Palm Harbor, FL 34683
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Secondary Practice Location 1

Location 12323 Grand AveWaukegan, IL 60085-3312 · Phone (847) 666-2451

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed 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

Lupita Catrina Gallardo M.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 ID2163732785
PECOS Enrollment IDI20220803002136
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 11

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.
315 services173 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.
135 services135 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
106 services106 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.
45 services37 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.
41 services41 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
36 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Mease Dunedin Hospital

Acute Care Hospitals · Dunedin, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100043
Location601 Main StDunedin, FL 34698 · Pinellas County
Emergency services

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Mease Countryside Hospital

Acute Care Hospitals · Safety Harbor, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100265
Location3231 Mcmullen Booth RdSafety Harbor, FL 34695 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34683 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
1 supplier338 claims1,384 services$213.49 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
1 supplier41 claims41 services$224.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lupita Gallardo's NPI number?

The NPI number for Lupita Gallardo is 1215270111. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Where is Lupita Gallardo located?

Lupita Gallardo practices at 2931 Alt 19, Palm Harbor, FL 34683. The listed phone number is (727) 785-2298.

What is Lupita Gallardo's specialty?

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

Is Lupita Gallardo enrolled in Medicare?

Yes. Lupita Gallardo 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 Lupita Gallardo accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lupita Gallardo 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 Lupita Gallardo affiliated with any hospitals?

According to CMS data, Lupita Gallardo is affiliated with Mease Dunedin Hospital, Morton Plant Hospital and Mease Countryside Hospital.

When was this NPI record last updated?

The NPPES record for Lupita Gallardo was last updated on October 28, 2022. 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.