DR. JAMES F GALLAGHER M.D.
NPI 1447239504
Ophthalmology in Salisbury, MD

Q: What is James Gallagher's NPI number?

The NPI number for James Gallagher is 1447239504. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Q: What is James Gallagher's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for James Gallagher was last updated on June 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment

69.29/100

CMS Quality Rating

31519 WINTERPLACE PKWY, SUITE 1, SALISBURY, MD 21804(410) 546-2500(410) 546-5005 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. James F Gallagher M.d. NPPES

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

DR. JAMES F GALLAGHER M.D. (NPI 1447239504) is an individual ophthalmology provider in Salisbury, Maryland, licensed in Maryland (D0069525) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1987).

NPPES Registry Identity

NPI1447239504

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. JAMES F GALLAGHERCredential: M.D.

Location Address31519 WINTERPLACE PKWY, SUITE 1Salisbury, MD 21804-1884

Mailing Address31519 Winterplace Pkwy, Suite 1Salisbury, MD 21804-1884 · (410) 546-2500 · Fax (410) 546-5005

Phone(410) 546-2500

Fax(410) 546-5005

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1987

Enumeration DateJanuary 17, 2006

Last NPPES UpdateJune 28, 2012

✔ NPI 1447239504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in MD · D0069525✔ Licensed in DE · C1-0009165

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

31519 WINTERPLACE PKWY, Salisbury, MD 21804

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Other Identifiers 2

Medicare PIN166737ZE3MMD

Medicaid026212900MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Dr. James F 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 ID7214075225

PECOS Enrollment IDI20091112000103, I20100406000566

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 17

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,299 services1,274 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.

407 services376 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

237 services174 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.

226 services194 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

212 services143 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

210 services206 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

122 services120 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

65 services62 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

45 services45 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

38 services38 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

37 services32 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

36 services33 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

35 services34 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

24 services23 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

18 services14 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

13 services12 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21804 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

$133.05 typical visit price

range $57.99 – $175.57

Typical copayment $33.26 (range $14.49 – $43.89)

Most-billed visit code 99204

Established Patient

$72.23 typical visit price

range $18.66 – $143.02

Typical copayment $18.05 (range $4.66 – $35.75)

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.

69.29/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.91

Improvement Activities

Cost

17.75

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Other Providers at the Same Location NPPES 7

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

AZAR/FILIPOV MD PA

Optometrist

31519 WINTERPLACE PKWY, SUITE 1
SALISBURY, MD 21804

Wicomico County (410) 546-2500

AZAR EYE SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

31519 WINTERPLACE PKWY, STE 1
SALISBURY, MD 21804

Wicomico County (410) 546-2500

AZAR/FILIPOV MD PA

Ophthalmology

31519 WINTERPLACE PKWY, STE 1
SALISBURY, MD 21804

Wicomico County (410) 546-2500

DR. JASON MANH TU MD

Legal Medicine

31519 WINTERPLACE PKWY, SUITE 1
SALISBURY, MD 21804

Wicomico County (410) 546-2500

DR. TRACEY C BOSS O.D.

Optometrist

31519 WINTERPLACE PKWY, STE 1
SALISBURY, MD 21804

Wicomico County (410) 546-2500

DR. PETER T FILIPOV M.D.

Ophthalmology

31519 WINTERPLACE PKWY, STE 1
SALISBURY, MD 21804

Wicomico County (410) 546-2500

DR. JENNIFER R GILES O.D.

Optometrist

31519 WINTERPLACE PKWY, STE 1
SALISBURY, MD 21804

Wicomico County (410) 546-2500

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 1447239504. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is James Gallagher located?

James Gallagher practices at 31519 Winterplace Pkwy Suite 1, Salisbury, MD 21804. The listed phone number is (410) 546-2500.

What is James Gallagher's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

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.

What insurance does James Gallagher 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 7 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.

When was this NPI record last updated?

The NPPES record for James Gallagher was last updated on June 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.