Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. PATRICK JACOB GALLUCCI MD
NPI 1376291252
Family Medicine in Fort Benning, GA

Q: What is Patrick Gallucci's NPI number?

The NPI number for Patrick Gallucci is 1376291252. It was assigned to this individual provider in the NPPES registry on March 10, 2022.

Q: What is Patrick Gallucci's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Gallucci was last updated on July 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 10, 2022PECOS Enrolled

6600 VAN AALST BLVD, FORT BENNING, GA 31905(762) 408-2273 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 1, 2025, Dec 13, 2023, Mar 10, 2022 (3 updates tracked since 2022).

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About Dr. Patrick Jacob Gallucci Md NPPES

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

DR. PATRICK JACOB GALLUCCI MD (NPI 1376291252) is an individual family medicine provider in Fort Benning, Georgia, licensed in Virginia (0101279566) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376291252

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. PATRICK JACOB GALLUCCICredential: MD

Location Address6600 VAN AALST BLVDFort Benning, GA 31905-2102

Mailing Address9040 Jackson AvenueTacoma, WA 98431-0001

Phone(762) 408-2273

Sole ProprietorNo

Enumeration DateMarch 10, 2022

Last NPPES UpdateJuly 2, 20263 updates tracked since enumeration

NPPES CertifiedJuly 2, 2026

✔ NPI 1376291252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101279566

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6600 VAN AALST BLVD, Fort Benning, GA 31905

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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)

Dr. Patrick Jacob Gallucci 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 31905 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.