BRIAN J GALINAT MD
NPI 1366481350
Orthopaedic Surgery in Wilmington, DE

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
70.68/100
CMS Quality Rating
1941 LIMESTONE ROAD, SUITE 101, WILMINGTON, DE 19808(302) 633-3555(302) 633-3559 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian J Galinat Md NPPES

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

BRIAN J GALINAT MD (NPI 1366481350) is an individual orthopaedic surgery provider in Wilmington, Delaware, licensed in Delaware (C10003306) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Pennsylvania (1983).

NPPES Registry Identity

NPI1366481350
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameBRIAN J GALINATCredential: MD
Location Address1941 LIMESTONE ROAD, SUITE 101Wilmington, DE 19808
Mailing Address1941 Limestone Road, Suite 101Wilmington, DE 19808 · (302) 633-3555 · Fax (302) 633-3559
Fax(302) 633-3559
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1983
Enumeration DateJune 5, 2006
Last NPPES UpdateJanuary 15, 2010
NPI 1366481350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in DE · C10003306
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1941 LIMESTONE ROAD, Wilmington, DE 19808

Other Identifiers 3

Medicaid00042686DE
Medicare UPINE52986
Medicare ID-Type Unspecified46350D24DE

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

Brian J Galinat 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 ID5395732903
PECOS Enrollment IDI20100427000244
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 18

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,512 services318 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
789 services546 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.
677 services469 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.
404 services361 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
366 services319 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.
112 services112 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19808 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

70.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.9
Promoting Interoperability100
Improvement Activities30
Cost40.86

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
1 supplier36 claims36 services$78.20 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 8

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

Physician Assistant (Surgical)
1941 LIMESTONE ROAD, SUITE 101
WILMINGTON, DE 19808
Nurse Practitioner (Adult Health)
1941 LIMESTONE ROAD, SUITE 211
WILMINGTON, DE 19808
Physician Assistant
1941 LIMESTONE ROAD, STE 101
WILMINGTON, DE 19808
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1941 LIMESTONE ROAD, SUITE 107
WILMINGTON, DE 19808
Physician Assistant
1941 LIMESTONE ROAD, STE 101
WILMINGTON, DE 19808
Orthopaedic Surgery
1941 LIMESTONE ROAD, SUITE 101
WILMINGTON, DE 19808
Orthopaedic Surgery
1941 LIMESTONE ROAD, SUITE 101
WILMINGTON, DE 19808
Otolaryngology
1941 LIMESTONE ROAD, SUITE 210
WILMINGTON, DE 19808

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 Galinat's NPI number?

The NPI number for Brian Galinat is 1366481350. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Brian Galinat located?

Brian Galinat practices at 1941 Limestone Road Suite 101, Wilmington, DE 19808. The listed phone number is (302) 633-3555.

What is Brian Galinat's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Brian Galinat enrolled in Medicare?

Yes. Brian Galinat 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 Brian Galinat accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Brian Galinat 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 Galinat was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.