GARY J GALVIN MD
NPI 1487603379
Surgery in Columbus, WI

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
98.82/100
CMS Quality Rating
1515 PARK AVE, COLUMBUS, WI 53925(920) 623-2200 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1487603379
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameGARY J GALVINCredential: MD
Location Address1515 PARK AVEColumbus, WI 53925-1618
Mailing Address1515 Park AveColumbus, WI 53925-1618 · (920) 623-2200
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1986
Enumeration DateMay 8, 2006
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedOctober 9, 2020
NPI 1487603379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WI · 46231-020
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1515 PARK AVE, Columbus, WI 53925

Other Identifiers 3

Medicaid34447600WI
Other1043809WI · Physicians Plus
Other60222WI · Dean Health Insurance

Accepted 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

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.

PECOS PAC ID8921907619
PECOS Enrollment IDI20031231000633
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 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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
30 services30 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services17 patients

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, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521338
Location1515 Park AveColumbus, WI 53925 · Columbia County
Emergency services

Physician 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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

98.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.85
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
80%89 patients4/55-star benchmark: 93%
Cervical Cancer Screening
72%71 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
81%194 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
85%122 patients4/55-star benchmark: 91%
HIV Screening
30%222 patients3/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%294 patients3/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
99%122 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.

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.

Family Medicine
1515 PARK AVE
COLUMBUS, WI 53925
Orthopaedic Surgery
1515 PARK AVE
COLUMBUS, WI 53925
Psychiatry & Neurology (Psychiatry)
1515 PARK AVE
COLUMBUS, WI 53925
Registered Nurse (Diabetes Educator)
1515 PARK AVE
COLUMBUS, WI 53925
Pharmacist
1515 PARK AVE
COLUMBUS, WI 53925
Allergy & Immunology
1515 PARK AVE
COLUMBUS, WI 53925
Physical Therapist
1515 PARK AVE
COLUMBUS, WI 53925
Dietitian, Registered
1515 PARK AVE
COLUMBUS, WI 53925

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.

What insurance does Gary Galvin accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 with the weekly NPPES data releases published by CMS.