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DR. JAMES FRANCIS GALLANT MD
NPI 1295712974
Family Medicine in Dixon, IL

Active since December 23, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
403 E 1ST ST, DIXON, IL 61021(815) 285-5552(815) 285-5865 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2024, May 9, 2024, Nov 17, 2022 and 1 more (4 updates tracked since 2018).

About Dr. James Francis Gallant Md NPPES

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

DR. JAMES FRANCIS GALLANT MD (NPI 1295712974) is an individual family medicine provider in Dixon, Illinois, licensed in Illinois (036075586) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1295712974
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES FRANCIS GALLANTCredential: MD
Location Address403 E 1ST STDixon, IL 61021-3116
Mailing Address7200 W White Eagle RdLeaf River, IL 61047-9733 · (940) 255-5421
Phone(815) 285-5552
Fax(815) 285-5865
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1986
Enumeration DateDecember 23, 2005
Last NPPES UpdateDecember 16, 20244 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1295712974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036075586
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036075586 (IL)
403 E 1ST ST, Dixon, IL 61021
Open in Google Maps ↗

Secondary Practice Location 1

Location 11007 S William StAtlanta, TX 75551-3245 · Phone (903) 799-3000

Other Identifiers 2

Other036075586IL · State License
Medicaid036075586IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Anthem Blue Cross and Blue Shield 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

Dr. James Francis Gallant 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 ID2860680766
PECOS Enrollment IDI20130701000790, I20210414001743
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 3

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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
255 services238 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
64 services62 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
39 services39 patients

Hospital Affiliations CMS Care Compare 4

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

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140012
Location403 E 1st StDixon, IL 61021 · Lee County
Emergency services Birthing friendly

Hamilton Memorial Hospital

Critical Access Hospitals · Mcleansboro, IL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141326
Location611 S Marshall AvenueMcleansboro, IL 62859 · Hamilton County
Emergency services

Marshall Browning Hospital

Critical Access Hospitals · Du Quoin, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141331
Location900 North Washington StreetDu Quoin, IL 62832 · Perry County
Emergency services

Aspirus Stanley Hospital

Critical Access Hospitals · Stanley, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521311
Location1120 Pine StStanley, WI 54768 · Chippewa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61021 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.91
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

SAAD BLANEY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5533
KATHERINE SHAW BETHEA HOSPITAL
Psychiatric Unit
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 288-5531
BRETT AUSTIN MCGOWAN M.D.
Obstetrics & Gynecology
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5461
MARIE NOWAK MD
Emergency Medicine
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 288-5531
STACEY PENAFLOR
Physical Therapist
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5591
DOROTHY BENNETT MD
Internal Medicine
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5629
VALARIE PFOUTZ APN
Nurse Practitioner (Family)
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 288-5531
AUDRA DANIELLE WASHO APN
Nurse Practitioner (Family)
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 284-5710

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 James Gallant's NPI number?

The NPI number for James Gallant is 1295712974. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is James Gallant located?

James Gallant practices at 403 E 1st St, Dixon, IL 61021. The listed phone number is (815) 285-5552.

What is James Gallant's specialty?

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

Is James Gallant enrolled in Medicare?

Yes. James Gallant 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 James Gallant accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Texas list James Gallant 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 James Gallant affiliated with any hospitals?

According to CMS data, James Gallant is affiliated with Katherine Shaw Bethea Hospital, Hamilton Memorial Hospital, Marshall Browning Hospital and Aspirus Stanley Hospital.

When was this NPI record last updated?

The NPPES record for James Gallant was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.