ANDREA L GALE MD
NPI 1306132261
Orthopaedic Surgery - Hand Surgery in West Columbia, SC

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
146 E HOSPITAL DR STE 140&350, WEST COLUMBIA, SC 29169(803) 936-7966(803) 936-7938 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2024, Jul 20, 2022, Jun 14, 2021 and 5 more (8 updates tracked since 2017).

About Andrea L Gale Md NPPES

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

ANDREA L GALE MD (NPI 1306132261) is an individual hand surgery provider in West Columbia, South Carolina, licensed in South Carolina (33835) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Kershawhealth, and is a graduate of Medical University Of South Carolina College Of Medicine (2011).

NPPES Registry Identity

NPI1306132261
Entity TypeIndividualFemale
Primary Taxonomy207XS0106X
Provider Legal NameANDREA L GALECredential: MD
Location Address146 E HOSPITAL DR STE 140&350West Columbia, SC 29169-4800
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Fax(803) 936-7938
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2011
Enumeration DateJune 20, 2011
Last NPPES UpdateJune 13, 20248 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
NPI 1306132261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in SC · 33835
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 33835 (SC)
146 E HOSPITAL DR STE 140&350, West Columbia, SC 29169

Accepted 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

Andrea L Gale 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 ID840563920
PECOS Enrollment IDI20181220001105
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 16

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
325 services204 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.
270 services202 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.
129 services115 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.
121 services121 patients
X-ray of finger, minimum of 2 views 73140
An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.
100 services70 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
65 services56 patients

Hospital Affiliations CMS Care Compare 2

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

Kershawhealth

Acute Care Hospitals · Camden, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420048
Location1315 Roberts StreetCamden, SC 29020 · Kershaw County
Emergency services Birthing friendly

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Referred Medical Equipment & Supplies CMS DME claims 2

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

Dynamic adjustable finger extension/flexion device, includes soft interface material E1825
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$80.29 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
2 suppliers20 claims20 services$63.31 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 20

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

Orthopaedic Surgery
146 E HOSPITAL DR STE 140&350
WEST COLUMBIA, SC 29169
Orthopaedic Surgery (Hand Surgery)
146 E HOSPITAL DR STE 140&350
WEST COLUMBIA, SC 29169
Physician Assistant (Surgical)
146 E HOSPITAL DR STE 140&350
WEST COLUMBIA, SC 29169
Physician Assistant (Surgical)
146 E HOSPITAL DR STE 140&350
WEST COLUMBIA, SC 29169
Orthopaedic Surgery
146 E HOSPITAL DR STE 140&350
WEST COLUMBIA, SC 29169
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
146 E HOSPITAL DR STE 140&350
WEST COLUMBIA, SC 29169
Physician Assistant (Surgical)
146 E HOSPITAL DR STE 140&350
WEST COLUMBIA, SC 29169
Physician Assistant (Surgical)
146 E HOSPITAL DR STE 140&350
WEST COLUMBIA, SC 29169

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 Andrea Gale's NPI number?

The NPI number for Andrea Gale is 1306132261. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Andrea Gale located?

Andrea Gale practices at 146 E Hospital Dr Ste 140&350, West Columbia, SC 29169. The listed phone number is (803) 936-7966.

What is Andrea Gale's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Andrea Gale enrolled in Medicare?

Yes. Andrea Gale 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 Andrea Gale accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Andrea Gale 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 Andrea Gale affiliated with any hospitals?

According to CMS data, Andrea Gale is affiliated with Kershawhealth and Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Andrea Gale was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.