DR. ALBERTO SEBASTIAN GALLO M.D
NPI 1558534859
Surgery in Louisville, KY

Q: What is Alberto Gallo's NPI number?

The NPI number for Alberto Gallo is 1558534859. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Q: What is Alberto Gallo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Alberto Gallo was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 08, 2008PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

4001 KRESGE WAY, SUITE 200, LOUISVILLE, KY 40207(502) 895-1995(502) 895-6479 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Alberto Sebastian Gallo M.d NPPES

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

DR. ALBERTO SEBASTIAN GALLO M.D (NPI 1558534859) is an individual surgery provider in Louisville, Kentucky, licensed in Kentucky (47715) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1558534859

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. ALBERTO SEBASTIAN GALLOCredential: M.D

Location Address4001 KRESGE WAY, SUITE 200Louisville, KY 40207-4640

Mailing AddressPo Box 950248Louisville, KY 40295-0248 · (502) 489-5730 · Fax (502) 489-5753

Phone(502) 895-1995

Fax(502) 895-6479

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateApril 8, 2008

Last NPPES UpdateDecember 2, 2020

NPPES CertifiedDecember 2, 2020

✔ NPI 1558534859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in KY · 47715

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4001 KRESGE WAY, Louisville, KY 40207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Dr. Alberto Sebastian Gallo M.d 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 ID345568630

PECOS Enrollment IDI20150416002449

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 14

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

67 services33 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.

60 services49 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.

47 services47 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

43 services42 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.

39 services31 patients

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.

36 services36 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.

36 services16 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

29 services29 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

28 services27 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

26 services19 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

21 services21 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.

21 services21 patients

Removal of abdominal cavity tube 49422

The removal of an abdominal cavity tube is a medical procedure that involves taking out a tube previously placed in your abdomen. This tube may have been used to drain fluid, air, or pus from your abdominal area. The process is safe, typically quick, and done by a healthcare professional.

12 services12 patients

Insertion of abdominal cavity tube using an endoscope 49324

This procedure involves placing a tube into your abdominal cavity with the aid of an endoscope, a thin, flexible tube with a light and camera. It helps drain fluid or air, administer medication, or aid in diagnosis. It's done under sedation for comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180130

Location4000 Kresge WayLouisville, KY 40207 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

95.5/100

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

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

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.

WYGAL & NEWMAN LLC

Specialist

4001 KRESGE WAY, SUITE 324
LOUISVILLE, KY 40207

Jefferson County (502) 894-4408

JANET L HONCHELL MD

Obstetrics & Gynecology

4001 KRESGE WAY, SUITE 324
LOUISVILLE, KY 40207

Jefferson County (502) 894-4408

DR. ANDREW D. BAILEY M.D.

Internal Medicine (Gastroenterology)

4001 KRESGE WAY, SUITE 130
LOUISVILLE, KY 40207

Jefferson County (502) 896-8447

DR. REID B BROWN M.D.

Orthopaedic Surgery

4001 KRESGE WAY, SUITE 100
LOUISVILLE, KY 40207

Jefferson County (502) 897-6579

ANDREW D BAILEY MD

Internal Medicine (Gastroenterology)

4001 KRESGE WAY, SUITE 130
LOUISVILLE, KY 40207

Jefferson County (502) 896-8447

JOHN M WEETER MD

Surgery (Plastic and Reconstructive Surgery)

4001 KRESGE WAY, STE 220
LOUISVILLE, KY 40207

Jefferson County (502) 895-5466

MRS. ELLEN JEAN JOFFE PA-C

Physician Assistant (Surgical)

4001 KRESGE WAY, SUITE 200
LOUISVILLE, KY 40207

Jefferson County (502) 895-1995

ORTHOPAEDIC SPECIALISTS PLLC

Specialist

4001 KRESGE WAY, SUITE 330
LOUISVILLE, KY 40207

Jefferson County (502) 212-2663

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 Alberto Gallo's NPI number?

The NPI number for Alberto Gallo is 1558534859. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Where is Alberto Gallo located?

Alberto Gallo practices at 4001 Kresge Way Suite 200, Louisville, KY 40207. The listed phone number is (502) 895-1995.

What is Alberto Gallo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Alberto Gallo enrolled in Medicare?

Yes. Alberto Gallo 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 Alberto Gallo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Alberto Gallo 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 Alberto Gallo affiliated with any hospitals?

According to CMS data, Alberto Gallo is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Alberto Gallo was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.