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ANDREW DAVID GALUSHA M.D.
NPI 1265753487
Surgery in Beavercreek, OH

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment
85.3/100
CMS Quality Rating
3535 PENTAGON BLVD STE 320, BEAVERCREEK, OH 45431(937) 702-4000 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2022, Dec 21, 2021, Mar 24, 2016 and 1 more (4 updates tracked since 2015).

About Andrew David Galusha M.d. NPPES

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

ANDREW DAVID GALUSHA M.D. (NPI 1265753487) is an individual surgery provider in Beavercreek, Ohio, licensed in Ohio (126044) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Upper Valley Medical Center, and maintains a secondary practice location in Wpafb.

NPPES Registry Identity

NPI1265753487
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameANDREW DAVID GALUSHACredential: M.D.
Location Address3535 PENTAGON BLVD STE 320Beavercreek, OH 45431-1705
Mailing Address3691 Park Overlook Dr, Apt 207Beavercreek, OH 45431-7404 · (937) 286-1397
Phone(937) 702-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 22, 2010
Last NPPES UpdateApril 6, 20224 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1265753487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 126044
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3535 PENTAGON BLVD STE 320, Beavercreek, OH 45431
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Secondary Practice Location 1

Location 14881 Sugar Maple DrWpafb, OH 45433-5529 · Phone (937) 257-9922

Other Identifiers 1

Medicaid0122787OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew David Galusha 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 ID840507786
PECOS Enrollment IDI20160226001169
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Andrew Galusha reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Health Specialists Inc
5.7 mi
Clinical Nurse Specialist
1 WYOMING ST, SUITE 4490
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
NPI 1386980522 (937) 208-5287
Kettering Independent Medical Group Inc
13 mi
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
NPI 1629387865 (937) 762-1629
Uvpc Specialists Inc.
19 mi
Surgery
3130 N COUNTY ROAD 25-A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 154 clinicians in this Medicare group
NPI 1831115492 (937) 440-7454
Jtdm Family Practice LLC
58 mi
Family Medicine
200 SAINT CLAIR AVE
St Marys, OH 45885
  • Reassigned Medicare billing, Ohio enrollment
  • 60 clinicians in this Medicare group
NPI 1184652539 (419) 394-3335

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services22 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45431 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

85.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.63
Promoting Interoperability98
Improvement Activities40
Cost69.04

Referred Medical Equipment & Supplies CMS DME claims 3

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

Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier12 claims48 services$5.06 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier14 claims180 services$7.97 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier12 claims150 services$3.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

LAURA BUSTEED
Nurse Practitioner (Family)
3535 PENTAGON BLVD STE 320
BEAVERCREEK, OH 45431
Greene County (937) 490-2270
TIECA FRANKLIN
Nurse Practitioner (Acute Care)
3535 PENTAGON BLVD STE 320
BEAVERCREEK, OH 45431
Greene County (937) 490-2270
DR. WESLEY JAVEED JOHNSON D.O.
Surgery
3535 PENTAGON BLVD STE 320
BEAVERCREEK, OH 45431
Greene County (937) 490-2270
NICOLE JEAN RODRIGUEZ-BORASZ CNP
Nurse Practitioner (Family)
3535 PENTAGON BLVD STE 320
BEAVERCREEK, OH 45431
Greene County (937) 294-1489

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 Andrew Galusha's NPI number?

The NPI number for Andrew Galusha is 1265753487. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Andrew Galusha located?

Andrew Galusha practices at 3535 Pentagon Blvd Ste 320, Beavercreek, OH 45431. The listed phone number is (937) 702-4000.

What is Andrew Galusha's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Andrew Galusha enrolled in Medicare?

Yes. Andrew Galusha 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.

Which organizations bill Medicare for Andrew Galusha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Galusha reassigns Medicare benefits to 4 organizations: Premier Health Specialists Inc (Dayton, OH), Kettering Independent Medical Group Inc (Miamisburg, OH), Uvpc Specialists Inc. (Troy, OH) and Jtdm Family Practice LLC (St Marys, OH). 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 Andrew Galusha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Galusha accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Andrew Galusha 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 Andrew Galusha affiliated with any hospitals?

According to CMS data, Andrew Galusha is affiliated with Upper Valley Medical Center and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Galusha was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.