JOHN GALLO MD
NPI 1225049257
Family Medicine in Fort Bragg, CA
About John Gallo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN GALLO MD (NPI 1225049257) is an individual family medicine provider in Fort Bragg, California, licensed in California (C36010) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Gallo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show John Gallo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Rosa, CA 95404
- Reassigned Medicare billing, California enrollment
- 68 clinicians in this Medicare group
Apple Valley, CA 92307
- Reassigned Medicare billing, California enrollment
- 914 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95437 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT BRAGG, CA 95437
FORT BRAGG, CA 95437
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 Gallo's NPI number?
The NPI number for John Gallo is 1225049257. It was assigned to this individual provider in the NPPES registry on August 11, 2006.
Where is John Gallo located?
John Gallo practices at 721 River Dr Suite A, Fort Bragg, CA 95437. The listed phone number is (707) 961-4631.
What is John Gallo's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Gallo enrolled in Medicare?
Yes. John Gallo is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Gallo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Gallo reassigns Medicare benefits to 2 organizations: Aretaeus Telemedicine Inc. (Santa Rosa, CA) and Hospitalist Medicine Physicians Of California, Inc (Apple Valley, CA). Each 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 John Gallo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Gallo was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# John Gallo, MD · NPI 1225049257
Family Medicine physician in Fort Bragg, California. Individual provider, active in the CMS NPPES registry since August 11, 2006.
## Identity
- **NPI:** 1225049257 (Entity type: Individual)
- **Enumerated:** August 11, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** C36010 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 721 RIVER DR, SUITE A, Fort Bragg, CA 95437
- **Phone:** (707) 961-4631 · **Fax:** (707) 964-1192
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Aretaeus Telemedicine Inc. (NPI 1548490261, Santa Rosa, CA); Hospitalist Medicine Physicians Of California, Inc (NPI 1184663965, Apple Valley, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2012
- **Other identifiers:** Medicare UPIN A36137 (CA); Other 00C360100 (CA); Medicare ID-Type Unspecified 00C360100 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1225049257) · Data from the CMS NPPES public registry.