DR. SEAN MICHAEL GALLAGHER MD
NPI 1477744654
Orthopaedic Surgery in Austin, TX

Q: What is Sean Gallagher's NPI number?

The NPI number for Sean Gallagher is 1477744654. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Q: What is Sean Gallagher's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sean Gallagher was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 05, 2007PECOS Enrolled

82.88/100

CMS Quality Rating

3901 MEDICAL PKWY, STE 301, AUSTIN, TX 78756(512) 960-4590(512) 452-4590 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 10, 2018, Jan 4, 2017 (2 updates tracked since 2017).

On this page

About Dr. Sean Michael Gallagher Md NPPES

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

DR. SEAN MICHAEL GALLAGHER MD (NPI 1477744654) is an individual orthopaedic surgery provider in Austin, Texas, licensed in Texas (P1757) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Hays, and is a graduate of University Of Texas Medical School At San Antonio (2006).

NPPES Registry Identity

NPI1477744654

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. SEAN MICHAEL GALLAGHERCredential: MD

Location Address3901 MEDICAL PKWY, STE 301Austin, TX 78756-4022

Mailing Address3901 Medical Pkwy, Ste 301Austin, TX 78756-4022 · (512) 960-4590 · Fax (512) 452-4590

Phone(512) 960-4590

Fax(512) 452-4590

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2006

Enumeration DateAugust 5, 2007

Last NPPES UpdateApril 10, 20182 updates tracked since enumeration

✔ NPI 1477744654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TX · P1757

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.

3901 MEDICAL PKWY, Austin, TX 78756

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc., Moda Health Plan, Inc., WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sean Michael Gallagher Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143499046

PECOS Enrollment IDI20120614000320

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.

Medicare Billing Reassignment

Medicare enrollment records show Sean Gallagher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sean M Gallagher MD PLLC

Same address

Orthopaedic Surgery

3901 MEDICAL PKWY STE 301
Austin, TX 78756

Reassigned Medicare billing, Texas enrollment

NPI 1336527621 (512) 960-4590

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

102 services54 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.

88 services56 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.

85 services72 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

79 services53 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.

69 services60 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

66 services55 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

58 services53 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

52 services47 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

50 services47 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.

46 services46 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.

43 services43 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.

42 services39 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

19 services19 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.

18 services14 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

15 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670056

Location6001 Kyle PkwyKyle, TX 78640 · Hays County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78756 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

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.

82.88/100

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

Individually scored

Quality

57.21

Improvement Activities

Cost

100

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

22%337 patients2/55-star benchmark: 87%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

95%22 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%1,451 patients5/55-star benchmark: 100%

Functional Status Assessment for Total Hip Replacement

0%24 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

30%979 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%1,319 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 516 patients

0%516 patients

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.04%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82%45 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 385 patients

Patients totalRate: 3% · 385 patients

3%385 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier21 claims21 services$43.62 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 11

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

MARK RAYMOND LINDSEY M.D.

Surgery

3901 MEDICAL PKWY, SUITE 200
AUSTIN, TX 78756

Travis County (512) 467-7151

CHARLES DUNCAN LIVINGSTON M.D.

Surgery

3901 MEDICAL PKWY, SUITE 200
AUSTIN, TX 78756

Travis County (512) 467-7151

JEFFREY TOWNSEND MEYNIG M.D.

Surgery

3901 MEDICAL PKWY, SUITE 200
AUSTIN, TX 78756

Travis County (512) 467-7151

BRANT EDWARD VICTOR M.D.

Surgery

3901 MEDICAL PKWY, SUITE 200
AUSTIN, TX 78756

Travis County (512) 467-7151

ROBERT EDWARD ASKEW JR. M.D.

Surgery

3901 MEDICAL PKWY, SUITE 200
AUSTIN, TX 78756

Travis County (512) 467-7151

DR. AMY DEKERLEGAND MD

Surgery

3901 MEDICAL PKWY
AUSTIN, TX 78756

Travis County (512) 467-7151

AUSTIN SURGEONS PLLC

Surgery

3901 MEDICAL PKWY, SUITE 200
AUSTIN, TX 78756

Travis County (512) 467-7151

BENJAMIN AMIS MD

Orthopaedic Surgery (Hand Surgery)

3901 MEDICAL PKWY, SUITE 301
AUSTIN, TX 78756

Travis County (512) 960-4590

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 Sean Gallagher's NPI number?

The NPI number for Sean Gallagher is 1477744654. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Sean Gallagher located?

Sean Gallagher practices at 3901 Medical Pkwy Ste 301, Austin, TX 78756. The listed phone number is (512) 960-4590.

What is Sean Gallagher's specialty?

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

Is Sean Gallagher enrolled in Medicare?

Yes. Sean Gallagher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sean Gallagher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Gallagher reassigns Medicare benefits to Sean M Gallagher MD PLLC (Austin, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Gallagher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Gallagher accept?

Health plans from Imperial Insurance Companies, Inc., Moda Health Plan, Inc. and WellPoint list Sean 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.

Is Sean Gallagher affiliated with any hospitals?

According to CMS data, Sean Gallagher is affiliated with Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Sean Gallagher was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.