WILLIAM GALLAGHER MD
NPI 1437187648
Family Medicine in Colmar Manor, MD

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
4151 BLADENSBURG RD, COLMAR MANOR, MD 20722(301) 699-7700(301) 779-9001 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About William Gallagher Md NPPES

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

WILLIAM GALLAGHER MD (NPI 1437187648) is an individual family medicine provider in Colmar Manor, Maryland, licensed in Maryland (D47141) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Temple University School Of Medicine (1993).

NPPES Registry Identity

NPI1437187648
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM GALLAGHERCredential: MD
Location Address4151 BLADENSBURG RDColmar Manor, MD 20722-1928
Mailing Address1150 Varnum St NeWashington, DC 20017 · (202) 269-7000
Fax(301) 779-9001
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1993
Enumeration DateJune 28, 2006
Last NPPES UpdateOctober 22, 2018
NPI 1437187648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MD · D47141
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.
4151 BLADENSBURG RD, Colmar Manor, MD 20722

Secondary Practice Location 1

Location 11150 Varnum St NEWashington, DC 20017 · Phone (202) 269-7000

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

William Gallagher 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 ID8729253315
PECOS Enrollment IDI20111209000265
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 6

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.

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.
127 services101 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
42 services33 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.
23 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20722 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims42 services$5.40 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 20

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

Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Family Medicine
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Family Medicine
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722

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 William Gallagher's NPI number?

The NPI number for William Gallagher is 1437187648. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is William Gallagher located?

William Gallagher practices at 4151 Bladensburg Rd, Colmar Manor, MD 20722. The listed phone number is (301) 699-7700.

What is William Gallagher's specialty?

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

Is William Gallagher enrolled in Medicare?

Yes. William 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.

When was this NPI record last updated?

The NPPES record for William Gallagher was last updated on October 22, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.