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BRIAN MICHAEL GALLAGHER PA
NPI 1336250042
Physician Assistant in Sells, AZ

Active since August 31, 2006PECOS Enrolled
97.75/100
CMS Quality Rating
HWY 86 & TOPAWA RD, SELLS, AZ 85634(520) 295-2524(520) 295-2615 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2025, Aug 25, 2023 (2 updates tracked since 2023).

About Brian Michael Gallagher Pa NPPES

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

BRIAN MICHAEL GALLAGHER PA (NPI 1336250042) is an individual physician assistant in Sells, Arizona, licensed in Michigan (5601004365) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Midland.

NPPES Registry Identity

NPI1336250042
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRIAN MICHAEL GALLAGHERCredential: PA
Location AddressHWY 86 & TOPAWA RDSells, AZ 85634
Mailing Address3270 Dobson DrBay City, MI 48706-1675 · (989) 450-5641
Phone(520) 295-2524
Fax(520) 295-2615
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1336250042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601004365
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
HWY 86 & TOPAWA RD, Sells, AZ 85634
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Secondary Practice Location 1

Location 14000 Wellness DrMidland, MI 48670-2000 · Phone (989) 839-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Michael Gallagher Pa 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.

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 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.
133 services127 patients
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.
40 services39 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85634 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

97.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost92.52

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%24 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

RONALD DEAN SHIMKO B.S IN PHARMACIST
Clinical Pharmacology
HWY 86 & TOPAWA RD
SELLS, AZ 85634
Pima County (520) 383-7350
MICHELLE CAROLINE REIS
Registered Nurse
HWY 86 & TOPAWA RD
SELLS, AZ 85634
Pima County (520) 383-7200
LOURDES Y ROJAS VILLANUEVA RN
Registered Nurse (Emergency)
HWY 86 & TOPAWA RD
SELLS, AZ 85634
Pima County (520) 383-7330

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 Brian Gallagher's NPI number?

The NPI number for Brian Gallagher is 1336250042. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Brian Gallagher located?

Brian Gallagher practices at Hwy 86 & Topawa Rd, Sells, AZ 85634. The listed phone number is (520) 295-2524.

What is Brian Gallagher's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brian Gallagher enrolled in Medicare?

Yes. Brian Gallagher is registered in the Medicare PECOS enrollment system.

What insurance does Brian Gallagher accept?

Health plans from Priority Health list Brian Gallagher 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.

When was this NPI record last updated?

The NPPES record for Brian Gallagher was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.