DR. JESSICA B GALLINA MD PC
NPI 1245330885
Orthopaedic Surgery - Foot and Ankle Surgery in New York, NY
NPI Status: Active since September 24, 2006
Contact Information
240 CENTRAL PARK SO
STE 2-0
NEW YORK, NY
ZIP 10019
Phone: (212) 265-0255
Fax: (212) 265-0233
- Individual
- Female
- Orthopaedic Surgery
- Foot and Ankle Surgery
- PECOS Enrolled
- Opted-Out Medicare
About JESSICA GALLINA
This page provides the complete NPI Profile along with additional information for Jessica Gallina, a provider established in New York, New York with a medical specialization in Orthopaedic Surgery, focusing in foot and ankle surgery . The healthcare provider is registered in the NPI registry with number 1245330885 assigned on September 2006. The practitioner's primary taxonomy code is 207XX0004X with license number 215872 (NY). The provider is registered as an individual and her NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1245330885
- Provider Name
- DR. JESSICA B GALLINA MD PC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 240 CENTRAL PARK SO STE 2-0 NEW YORK, NY 10019
- Location Phone
- (212) 265-0255
- Location Fax
- (212) 265-0233
- Mailing Address
- 240 CENTRAL PARK SO STE 2-0 NEW YORK, NY 10019
- Mailing Phone
- (212) 265-0255
- Mailing Fax
- (212) 265-0233
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-24-2006
- Last Update Date
- 08-19-2014
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jessica Gallina opted out of Medicare effective on 07-01-2020 until 07-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Foot and Ankle Surgery
- Taxonomy Code
- 207XX0004X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 215872
- License State
- NY
- Taxonomy Description
- Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| I05422 | MEDICARE UPIN (02) | NY | |
| 573G81 | MEDICARE PIN (08) | NY |
Medicare Participation & PECOS Enrollment Status
Jessica Gallina is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-01-2020
Opt-Out End Date: 07-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245330885, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245330885, enumerated as an "individual" on September 24, 2006.
The provider is located at 240 CENTRAL PARK SO STE 2-0 NEW YORK, NY 10019 and the phone number is (212) 265-0255.
Orthopaedic Surgery with taxonomy code 207XX0004X and a focus in Foot and Ankle Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
