GARY J GALVIN MD
NPI 1487603379
Surgery in Columbus, WI
About Gary J Galvin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY J GALVIN MD (NPI 1487603379) is an individual surgery provider in Columbus, Wisconsin, licensed in Wisconsin (46231-020) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Columbus Community Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gary J Galvin 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.
Medicare Billing Reassignment
Medicare enrollment records show Gary Galvin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbus, WI 53925
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1912329335 (Wisconsin)
- 132 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Columbus Community Hospital
Critical Access Hospitals · Columbus, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53925 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
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 Gary Galvin's NPI number?
The NPI number for Gary Galvin is 1487603379. It was assigned to this individual provider in the NPPES registry on May 8, 2006.
Where is Gary Galvin located?
Gary Galvin practices at 1515 Park Ave, Columbus, WI 53925. The listed phone number is (920) 623-2200.
What is Gary Galvin's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Gary Galvin enrolled in Medicare?
Yes. Gary Galvin 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.
Which organization bills Medicare for Gary Galvin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Galvin reassigns Medicare benefits to Prairie Ridge Health, Inc. (Columbus, WI). 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 Gary Galvin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gary Galvin accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz and Security Health Plan list Gary Galvin 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 Gary Galvin affiliated with any hospitals?
According to CMS data, Gary Galvin is affiliated with Columbus Community Hospital.
When was this NPI record last updated?
The NPPES record for Gary Galvin was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Gary J Galvin, MD · NPI 1487603379
Surgery physician in Columbus, Wisconsin. Individual provider, active in the CMS NPPES registry since May 8, 2006.
## Identity
- **NPI:** 1487603379 (Entity type: Individual)
- **Enumerated:** May 8, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 46231-020 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1515 PARK AVE, Columbus, WI 53925-1618
- **Phone:** (920) 623-2200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prairie Ridge Health, Inc. (NPI 1841376183, Columbus, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 1986
## Record status
- **NPPES last updated:** November 27, 2023
- **Other identifiers:** Medicaid 34447600 (WI); Other 1043809 (WI); Other 60222 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1487603379) · Data from the CMS NPPES public registry.