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LISA SARA WILKS-GALLO MD
NPI 1326113903
Pediatrics in Stony Brook, NY

Active since November 21, 2006PECOS Enrolled
STONY BROOK UNIVERSITY MEDICAL CTR, DEPT OF PEDIATRICS, HSC 11, RM 060, STONY BROOK, NY 11794(631) 444-7884(631) 444-8968 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Lisa Sara Wilks-gallo Md NPPES

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

LISA SARA WILKS-GALLO MD (NPI 1326113903) is an individual pediatrics provider in Stony Brook, New York, licensed in New York (239917) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326113903
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLISA SARA WILKS-GALLOCredential: MD
Location AddressSTONY BROOK UNIVERSITY MEDICAL CTR, DEPT OF PEDIATRICS, HSC 11, RM 060Stony Brook, NY 11794-0001
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-0650
Phone(631) 444-7884
Fax(631) 444-8968
Sole ProprietorNo
Enumeration DateNovember 21, 2006
Last NPPES UpdateApril 28, 2022
NPPES CertifiedApril 28, 2022
✔ NPI 1326113903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 239917
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
STONY BROOK UNIVERSITY MEDICAL CTR, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Sara Wilks-gallo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

DR. ANDRE PLAIR M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
STONY BROOK UNIVERSITY MEDICAL CTR, DEPARTMENT OF OB/GYN, HSC, T9
STONY BROOK, NY 11794
Suffolk County (631) 444-4686
DR. SABINE BROUXHON MD
Emergency Medicine
STONY BROOK UNIVERSITY MEDICAL CTR, HSC L4 RM 080
STONY BROOK, NY 11794
Suffolk County (631) 444-2478
TERESA STABLES-CARNEY RNC, PNP
Nurse Practitioner (Pediatrics)
STONY BROOK UNIVERSITY MEDICAL CTR, HSC-T-11-080, DEPT. PEDIATRICS
STONY BROOK, NY 11794
Suffolk County (631) 444-8340
WEI HE PA
Physician Assistant (Surgical)
STONY BROOK UNIVERSITY MEDICAL CTR, HSC T19080
STONY BROOK, NY 11794
Suffolk County (631) 444-1820
MS. LISA JOANNE REPPER NP
Nurse Practitioner (Adult Health)
STONY BROOK UNIVERSITY MEDICAL CTR, 3 EDMUND PELLEGRINO DR.
STONY BROOK, NY 11794
Suffolk County (631) 638-1000
GISELE ELIZABETH ESCOBAR NP
Nurse Practitioner (Adult Health)
STONY BROOK UNIVERSITY MEDICAL CTR, 16S ROOM 087
STONY BROOK, NY 11794
Suffolk County (631) 444-2901
MS. INDIRA MICHELLE FROMM RPA-C
Physician Assistant (Surgical)
STONY BROOK UNIVERSITY MEDICAL CTR, HSC LEVEL 19 ROOM 060, DEPARTMENT OF SURGERY
STONY BROOK, NY 11794
Suffolk County (631) 444-8210
DR. JEFFREY MORGANSTERN M.D.
Pediatrics (Pediatric Gastroenterology)
STONY BROOK UNIVERSITY MEDICAL CTR, HEALTH SCIENCE CENTER T11-080
STONY BROOK, NY 11794
Suffolk County (631) 444-8115

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 Lisa Wilks-gallo's NPI number?

The NPI number for Lisa Wilks-gallo is 1326113903. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Lisa Wilks-gallo located?

Lisa Wilks-gallo practices at Stony Brook University Medical Ctr Dept Of Pediatrics, Hsc 11, Rm 060, Stony Brook, NY 11794. The listed phone number is (631) 444-7884.

What is Lisa Wilks-gallo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lisa Wilks-gallo enrolled in Medicare?

Yes. Lisa Wilks-gallo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Wilks-gallo was last updated on April 28, 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.