NICHOLAS GALLAGHER
NPI 1629465208
Internal Medicine - Addiction Medicine in Augusta, ME

Q: What is Nicholas Gallagher's NPI number?

The NPI number for Nicholas Gallagher is 1629465208. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Q: What is Nicholas Gallagher's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Active since April 21, 2015PECOS EnrolledAccepts Medicare Assignment

79.27/100

CMS Quality Rating

35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330(207) 248-0097(207) 248-0094 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2021, May 7, 2019 (2 updates tracked since 2019).

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About Nicholas Gallagher NPPES

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

NICHOLAS GALLAGHER (NPI 1629465208) is an individual addiction medicine provider in Augusta, Maine, licensed in Maine (DO3075) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629465208

Entity TypeIndividualMale

Primary Taxonomy207RA0401X

Provider Legal NameNICHOLAS GALLAGHER

Location Address35 MEDICAL CENTER PKWYAugusta, ME 04330-8160

Mailing Address35 Medical Center PkwyAugusta, ME 04330-8160 · (207) 248-0097 · Fax (207) 248-0094

Phone(207) 248-0097

Fax(207) 248-0094

Sole ProprietorYes

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2015

Enumeration DateApril 21, 2015

Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1629465208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

Licenses✔ Licensed in ME · DO3075✔ Licensed in CT · 83039

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedEmergency MedicineTaxonomy 207P00000X · License DO00947 (RI)

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

35 MEDICAL CENTER PKWY, Augusta, ME 04330

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Secondary Practice Locations 2

Location 1600 Roe AveElmira, NY 14905-1629 · Phone (607) 734-4100

Location 2289 Windham RdWillimantic, CT 06226-3528 · Phone (203) 630-5256

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

Nicholas Gallagher 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 ID5698029452

PECOS Enrollment IDI20200903002712

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

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.

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.

37 services13 patients

Hospital Affiliations CMS Care Compare

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number200039

Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04330 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

$123.23 typical visit price

range $53.26 – $162.77

Typical copayment $30.80 (range $13.31 – $40.69)

Most-billed visit code 99204

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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.

79.27/100

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

Scored as part of a group practice

Quality

73.72

Promoting Interoperability

Improvement Activities

Cost

60.51

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.

VALERIE PRANCKUNAS

Occupational Therapist