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TODD PATRICK GALLION MD
NPI 1528084498
Hospitalist in Green Bay, WI

Active since July 14, 2006PECOS Enrolled
94.61/100
CMS Quality Rating
835 S VAN BUREN ST, GREEN BAY, WI 54301(920) 496-4700(920) 431-3267 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Todd Patrick Gallion Md NPPES

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

TODD PATRICK GALLION MD (NPI 1528084498) is an individual hospitalist provider in Green Bay, Wisconsin, licensed in Wisconsin (36679) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528084498
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTODD PATRICK GALLIONCredential: MD
Location Address835 S VAN BUREN STGreen Bay, WI 54301-3526
Mailing AddressPo Box 19070, Prevea HealthGreen Bay, WI 54307-9070 · (920) 496-4700 · Fax (920) 431-3267
Phone(920) 496-4700
Fax(920) 431-3267
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 24, 2008
✔ NPI 1528084498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 36679
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
835 S VAN BUREN ST, Green Bay, WI 54301
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Other Identifiers 3

Medicare ID-Type Unspecified07125-0141
Medicare UPING15415
Medicaid32157300WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Todd Patrick Gallion Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

MARY LYNN BARTEL MD
Pediatrics
835 S VAN BUREN ST, ROOM 1041
GREEN BAY, WI 54301
Brown County (920) 496-4700
DR. EKMINI WIJESINGHE MD
Hospitalist
835 S VAN BUREN ST, ST VINCENT HOSPITAL
GREEN BAY, WI 54301
Brown County (920) 272-1586
SALLY SCHLISE MD
Radiology (Radiation Oncology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-8184
GREEN BAY ANESTHESIA ASSOC. SC
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-0111
LEE JAMES KLEMENS MD
Internal Medicine
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 496-4700
DR. REGINALD E JULIEN M.D.
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-0111
ASHLEY M SPINDLER PA
Physician Assistant
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 496-4700
DR. CHARLES F DAIS II M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-8047

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 Todd Gallion's NPI number?

The NPI number for Todd Gallion is 1528084498. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Todd Gallion located?

Todd Gallion practices at 835 S Van Buren St, Green Bay, WI 54301. The listed phone number is (920) 496-4700.

What is Todd Gallion's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Todd Gallion enrolled in Medicare?

Yes. Todd Gallion is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Todd Gallion was last updated on July 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.