THOMAS A. GALLO MD
NPI 1316043466
Internal Medicine - Pulmonary Disease in Madisonville, KY

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
900 HOSPITAL DR, MADISONVILLE, KY 42431(270) 825-7200 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas A. Gallo Md NPPES

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

THOMAS A. GALLO MD (NPI 1316043466) is an individual pulmonary disease provider in Madisonville, Kentucky, licensed in Kentucky (16909) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Deaconess Madisonville, and is a graduate of University Of Cincinnati College Of Medicine (1967).

NPPES Registry Identity

NPI1316043466
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameTHOMAS A. GALLOCredential: MD
Location Address900 HOSPITAL DRMadisonville, KY 42431-1644
Mailing Address200 Clinic DrMadisonville, KY 42431-1661
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1967
Enumeration DateSeptember 16, 2006
Last NPPES UpdateDecember 4, 2020
NPPES CertifiedDecember 4, 2020
NPI 1316043466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in KY · 16909
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
900 HOSPITAL DR, Madisonville, KY 42431

Other Identifiers 3

Other16909KY · License
Other000000044264Bcbs Pin
Medicaid64169097KY

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

Thomas A. Gallo 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 ID5991847824
PECOS Enrollment IDI20100115000075
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.

Hospital Affiliations CMS Care Compare

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

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180093
Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$19.63 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$110.04 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.

Pharmacist
900 HOSPITAL DR
MADISONVILLE, KY 42431
Nurse Anesthetist, Certified Registered
900 HOSPITAL DR
MADISONVILLE, KY 42431
Nurse Anesthetist, Certified Registered
900 HOSPITAL DR
MADISONVILLE, KY 42431
Specialist/Technologist, Other (Surgical Assistant)
900 HOSPITAL DR
MADISONVILLE, KY 42431
Specialist/Technologist, Other (Surgical Assistant)
900 HOSPITAL DR
MADISONVILLE, KY 42431
Nurse Practitioner (Acute Care)
900 HOSPITAL DR
MADISONVILLE, KY 42431
Internal Medicine (Hematology & Oncology)
900 HOSPITAL DR
MADISONVILLE, KY 42431
Nurse Anesthetist, Certified Registered
900 HOSPITAL DR
MADISONVILLE, KY 42431

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 Thomas Gallo's NPI number?

The NPI number for Thomas Gallo is 1316043466. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Thomas Gallo located?

Thomas Gallo practices at 900 Hospital Dr, Madisonville, KY 42431. The listed phone number is (270) 825-7200.

What is Thomas Gallo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Thomas Gallo enrolled in Medicare?

Yes. Thomas Gallo 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.

Is Thomas Gallo affiliated with any hospitals?

According to CMS data, Thomas Gallo is affiliated with Baptist Health Deaconess Madisonville.

When was this NPI record last updated?

The NPPES record for Thomas Gallo was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.