THOMAS GALLAGHER MD
NPI 1467427641
Internal Medicine in Hinsdale, IL

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
40 S CLAY ST STE 210E, HINSDALE, IL 60521(630) 323-3540(630) 323-9079 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas Gallagher Md NPPES

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

THOMAS GALLAGHER MD (NPI 1467427641) is an individual internal medicine provider in Hinsdale, Illinois, licensed in Illinois (036082741) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (1989).

NPPES Registry Identity

NPI1467427641
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHOMAS GALLAGHERCredential: MD
Location Address40 S CLAY ST STE 210EHinsdale, IL 60521-3287
Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200
Fax(630) 323-9079
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1989
Enumeration DateFebruary 21, 2006
Last NPPES UpdateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
NPI 1467427641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036082741
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
40 S CLAY ST STE 210E, Hinsdale, IL 60521

Other Identifiers 1

Medicaid036082741IL

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

Thomas 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 ID1254233604
PECOS Enrollment IDI20040126000058
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 26

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.
352 services218 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
350 services229 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
199 services179 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
183 services170 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
172 services160 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
168 services157 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60521 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
8 suppliers14 claims52 services$5.64 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers22 claims24 services$193.98 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 6

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

Internal Medicine
40 S CLAY ST STE 210E
HINSDALE, IL 60521
Internal Medicine (Endocrinology, Diabetes & Metabolism)
40 S CLAY ST STE 210E
HINSDALE, IL 60521
Internal Medicine
40 S CLAY ST STE 210E
HINSDALE, IL 60521
Internal Medicine
40 S CLAY ST STE 210E
HINSDALE, IL 60521
Internal Medicine
40 S CLAY ST STE 210E
HINSDALE, IL 60521
Internal Medicine
40 S CLAY ST STE 210E
HINSDALE, IL 60521

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 Thomas Gallagher's NPI number?

The NPI number for Thomas Gallagher is 1467427641. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Thomas Gallagher located?

Thomas Gallagher practices at 40 S Clay St Ste 210E, Hinsdale, IL 60521. The listed phone number is (630) 323-3540.

What is Thomas Gallagher's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas Gallagher enrolled in Medicare?

Yes. Thomas 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 Thomas Gallagher was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.