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JAMES D GALLAGHER M.D.
NPI 1356452320
Obstetrics & Gynecology in Palm Harbor, FL

Active since August 31, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D2028292 · Waiver
89.67/100
CMS Quality Rating
3890 TAMPA RD, SUITE 401, PALM HARBOR, FL 34684(727) 786-8678(727) 786-6229 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James D Gallagher M.d. NPPES

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

JAMES D GALLAGHER M.D. (NPI 1356452320) is an individual obstetrics & gynecology provider in Palm Harbor, Florida, licensed in Florida (ME80813) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 11, 2027, and is affiliated with Morton Plant Hospital.

NPPES Registry Identity

NPI1356452320
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJAMES D GALLAGHERCredential: M.D.
Location Address3890 TAMPA RD, SUITE 401Palm Harbor, FL 34684-3676
Mailing Address3890 Tampa Rd, Suite 401Palm Harbor, FL 34684-3676 · (727) 786-8678 · Fax (727) 786-6229
Phone(727) 786-8678
Fax(727) 786-6229
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1997
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356452320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME80813
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3890 TAMPA RD, Palm Harbor, FL 34684
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Other Identifiers 1

Medicare UPINH53056FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James D Gallagher M.d. 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 ID4789575622
PECOS Enrollment IDI20040323000800
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.

Medicare Billing Reassignment

Medicare enrollment records show James Gallagher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Woman Care, LLC
14 mi
Obstetrics & Gynecology
4010 W BOY SCOUT BLVD STE 500
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 802 clinicians in this Medicare group
NPI 1386823243 (561) 300-2410

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2028292

James Gallagher MD LLC · Safety Harbor, FL
Active · expires Aug 11, 2027
CLIA Number10D2028292
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorJames Gallagher
Laboratory Phone(727) 786-8678
Laboratory LocationJames Gallagher MD LLC1840 Mease Dr - Ste 400, Safety Harbor, FL 34695
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
34 services34 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
29 services29 patients
Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
27 services27 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.
21 services17 patients

Hospital Affiliations CMS Care Compare

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

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34684 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
82%350 patients4/55-star benchmark: 93%
Cervical Cancer Screening
93%1,452 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
15%143 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
71%578 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
83%2,823 patients4/55-star benchmark: 100%
e-Prescribing
100%322 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
41%1,499 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
50%2,401 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 2% · 1,290 patients
Patients screened: 2% · 1,290 patients
100%26 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
83%770 patients4/55-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 20

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

JAY MERMELSTEIN MD PA
Family Medicine
3890 TAMPA RD, SUITE 303
PALM HARBOR, FL 34684
Pinellas County (727) 786-1747
PALM HARBOR INTERNAL MEDICINE AND PEDIATRICS, PA
Internal Medicine
3890 TAMPA RD, SUITE 101
PALM HARBOR, FL 34684
Pinellas County (727) 789-5811
BRADLEY JAMES COHEN ARNP
Nurse Practitioner
3890 TAMPA RD, STE 202
PALM HARBOR, FL 34684
Pinellas County (727) 787-5577
DR SANFORD PLEVIN MD PL
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3890 TAMPA RD, STE 301
PALM HARBOR, FL 34684
Pinellas County (727) 784-2424
DR. CRISTOBAL ROSARIO M.D.
Internal Medicine
3890 TAMPA RD, SUITE 307
PALM HARBOR, FL 34684
Pinellas County (727) 786-6155
FLORIDA MUSCULOSKELETAL SURGICAL GROUP LLC
Durable Medical Equipment & Medical Supplies
3890 TAMPA RD, SUITE 202
PALM HARBOR, FL 34684
Pinellas County (727) 787-5577
DR. GARY M GOLDSTEIN M.D.
Pediatrics
3890 TAMPA RD, SUITE 102
PALM HARBOR, FL 34684
Pinellas County (727) 789-5811
MRS. AMBER MARIE KOERNER FNP-C
Nurse Practitioner (Family)
3890 TAMPA RD
PALM HARBOR, FL 34684
Pinellas County (727) 532-0002

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 Gallagher's NPI number?

The NPI number for James Gallagher is 1356452320. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is James Gallagher located?

James Gallagher practices at 3890 Tampa Rd Suite 401, Palm Harbor, FL 34684. The listed phone number is (727) 786-8678.

What is James Gallagher's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Gallagher enrolled in Medicare?

Yes. James Gallagher 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.

Which organization bills Medicare for James Gallagher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Gallagher reassigns Medicare benefits to Florida Woman Care, LLC (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Gallagher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does James Gallagher hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2028292) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does James Gallagher accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 3 other insurers list James 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.

Is James Gallagher affiliated with any hospitals?

According to CMS data, James Gallagher is affiliated with Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for James Gallagher was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.