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GALAL Y. GARGODHI MD
NPI 1245594985
Pain Medicine - Pain Medicine in Duluth, GA

Active since June 27, 2012PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
3840 PEACHTREE INDUSTRIAL BLVD STE 225, DULUTH, GA 30096(678) 730-9202(885) 592-2998 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 20, 2023, Jul 11, 2023, Nov 14, 2022 and 5 more (8 updates tracked since 2017).

About Galal Y. Gargodhi Md NPPES

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

GALAL Y. GARGODHI MD (NPI 1245594985) is an individual pain medicine provider in Duluth, Georgia, licensed in Georgia (90833) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1245594985
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameGALAL Y. GARGODHICredential: MD
Location Address3840 PEACHTREE INDUSTRIAL BLVD STE 225Duluth, GA 30096-5031
Mailing Address3840 Peachtree Industrial Blvd Ste 225Duluth, GA 30096-5031 · (404) 884-5333
Phone(678) 730-9202
Fax(885) 592-2998
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 27, 2012
Last NPPES UpdateJanuary 9, 20248 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
✔ NPI 1245594985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Licenses✔ Licensed in GA · 90833✔ Licensed in WV · 28612✔ Licensed in OH · 35.140606
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 28612 (WV), 266119 (MA), 35.140606 (OH), 90833 (GA)
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 90833 (GA), 266119 (MA)
3840 PEACHTREE INDUSTRIAL BLVD STE 225, Duluth, GA 30096
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11901 ANN STPARKERSBURG, WV 26101 · Phone (304) 865-5530
Location 22540 Windy Hill Rd SEMarietta, GA 30067-8605 · Phone (770) 644-1000
Location 355 Lake Ave N, Department of AnesthesiologyWorcester, MA 01655-0002 · Phone (508) 334-3271 · Fax (508) 856-5911
Location 4800 Garfield AveParkersburg, WV 26101-5340 · Phone (304) 422-0405

Other Identifiers 1

Medicaid110122016AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Galal Y. Gargodhi Md 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 ID840581724
PECOS Enrollment IDI20240205003276
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 6

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.

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
2,603 services14 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.
74 services24 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.
24 services24 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.
16 services12 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
14 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

GREATER ATLANTA PAIN AND SPINE
Pain Medicine (Interventional Pain Medicine)
3840 PEACHTREE INDUSTRIAL BLVD STE 225
DULUTH, GA 30096
Gwinnett County (678) 730-9202

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 Galal Gargodhi's NPI number?

The NPI number for Galal Gargodhi is 1245594985. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Galal Gargodhi located?

Galal Gargodhi practices at 3840 Peachtree Industrial Blvd Ste 225, Duluth, GA 30096. The listed phone number is (678) 730-9202.

What is Galal Gargodhi's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Galal Gargodhi enrolled in Medicare?

Yes. Galal Gargodhi 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 Galal Gargodhi accept?

Health plans from Alliant Health Plans, Inc. list Galal Gargodhi 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 Galal Gargodhi affiliated with any hospitals?

According to CMS data, Galal Gargodhi is affiliated with Northside Hospital Gwinnett and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Galal Gargodhi was last updated on January 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.