DR. JEREMY K. GALLANT M.D.
NPI 1629396791
Physical Medicine & Rehabilitation in Omaha, NE

PECOS Enrollment and Medicare Participation Status

Jeremy Gallant is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• PECOS PAC ID: 7113141185

  What is the PECOS Associate Control ID?
  A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

• PECOS Enrollment ID: I20140612001864

  What is the Provider Enrollment ID?
  The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

• Accepts Medicare Assignment? Yes

  What does it mean "accepts medicare assignment"?
  When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
  A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

• Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Prosthetic and Orthotic Devices

• Prosthetic/Orthotic devices (D1F)

  Addition to lower extremity, test socket, below knee (HCPCS:L5620)

  3 DME suppliers used 18 Medicare Claims 28 Services Paid

• Prosthetic/Orthotic devices (D1F)

  Addition to lower extremity, below knee, acrylic socket (HCPCS:L5629)

  3 DME suppliers used 19 Medicare Claims 21 Services Paid

• Prosthetic/Orthotic devices (D1F)

  Addition to lower extremity, below knee, total contact (HCPCS:L5637)

  3 DME suppliers used 19 Medicare Claims 21 Services Paid

• Prosthetic/Orthotic devices (D1F)

  Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert (HCPCS:L5671)

  3 DME suppliers used 12 Medicare Claims 13 Services Paid

• Prosthetic/Orthotic devices (D1F)

  Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism (HCPCS:L5673)

  3 DME suppliers used 11 Medicare Claims 24 Services Paid

• Prosthetic/Orthotic devices (D1F)

  Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism (HCPCS:L5679)

  3 DME suppliers used 12 Medicare Claims 27 Services Paid

• Prosthetic/Orthotic devices (D1F)

  Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each (HCPCS:L5685)

  3 DME suppliers used 11 Medicare Claims 26 Services Paid

• Prosthetic/Orthotic devices (D1F)

  Addition, endoskeletal system, below knee, alignable system (HCPCS:L5910)

  3 DME suppliers used 16 Medicare Claims 19 Services Paid

• Prosthetic/Orthotic devices (D1F)

  Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) (HCPCS:L5940)

  3 DME suppliers used 17 Medicare Claims 20 Services Paid

• Prosthetic/Orthotic devices (D1F)

  Prosthetic sock, multiple ply, below knee, each (HCPCS:L8420)

  3 DME suppliers used 18 Medicare Claims 117 Services Paid

• Prosthetic/Orthotic devices (D1F)

  Prosthetic sock, single ply, fitting, below knee, each (HCPCS:L8470)

  3 DME suppliers used 15 Medicare Claims 99 Services Paid

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

• 89

  Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)

• 63

  Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)

• 56

  Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)

• 47

  Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

• 42

  Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)

• 36

  Destruction of lower or sacral spinal facet joint nerves using imaging guidance (HCPCS:64635)

• 33

  Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

• 22

  Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)

• 16

  Injection procedure into sacroiliac joint for anesthetic or steroid (HCPCS:27096)

• 11

  X-ray of knee, 3 views (HCPCS:73562)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jeremy Gallant is affiliated with the following medical facilities:

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NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

The NPI number 1629396791 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

Frequently Asked Questions