ROBIN GALLO PA-C
NPI 1497869440
Physician Assistant in Herrin, IL

Q: What is Robin Gallo's NPI number?

The NPI number for Robin Gallo is 1497869440. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Q: What is Robin Gallo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Robin Gallo was last updated on September 19, 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.

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment

79.56/100

CMS Quality Rating

405 RUSHING DR, HERRIN, IL 62948(618) 993-3300(618) 997-6626 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2021, Jan 29, 2021, Nov 11, 2019 and 1 more (4 updates tracked since 2019).

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About Robin Gallo Pa-c NPPES

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

ROBIN GALLO PA-C (NPI 1497869440) is an individual physician assistant in Herrin, Illinois, licensed in Illinois (085001347) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497869440

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameROBIN GALLOCredential: PA-C

Location Address405 RUSHING DRHerrin, IL 62948-3730

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200

Phone(618) 993-3300

Fax(618) 997-6626

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateAugust 18, 2006

Last NPPES UpdateSeptember 19, 20234 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2023

✔ NPI 1497869440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085001347

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

405 RUSHING DR, Herrin, IL 62948

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Secondary Practice Locations 2

Location 1502 W Saint Louis St Ste 4West Frankfort, IL 62896-1968 · Phone (618) 937-3400 · Fax (618) 997-9324

Location 22601 W Main StCarbondale, IL 62901-1031 · Phone (618) 549-5361

Other Identifiers 5

Other174143Health Link

Other080129117Railroad Medicare

Other10019630Bcbs

Other043448Health Alliance

Medicaid143870IL

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

Robin Gallo Pa-c 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 ID7214025808

PECOS Enrollment IDI20071115000217

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 7

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

160 services160 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

121 services108 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.

81 services81 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.

52 services52 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.

40 services39 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

35 services35 patients

Hospital Affiliations CMS Care Compare

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62948 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

79.56/100

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

Individually scored

Quality

61.44

Improvement Activities

Cost

70.05

Reported Quality Measures

Age Appropriate Screening Colonoscopy

Lower rates are better for this measure.

100%1,002 patients

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients

21%323 patients

Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use

96%157 patients

Colorectal Cancer Screening

99%581 patients4/55-star benchmark: 100%

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

41%824 patients1/55-star benchmark: 100%

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

12%705 patients1/55-star benchmark: 100%

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

Patients screened: 96% · 23 patients

96%23 patients

Tobacco Use and Help with Quitting Among Adolescents

90%59 patients3/55-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.

KRISTIN FRANCIS LCSW

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