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MICHAEL GALLAGHER
NPI 1699159889
Physician Assistant - Medical in Buffalo, NY

Active since July 17, 2015PECOS EnrolledAccepts Medicare Assignment
87.14/100
CMS Quality Rating

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2026, Dec 13, 2021, Jan 7, 2020 (3 updates tracked since 2020).

About Michael Gallagher NPPES

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

MICHAEL GALLAGHER (NPI 1699159889) is an individual medical provider in Buffalo, New York, licensed in New York (018850) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Sisters Of Charity Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1699159889
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMICHAEL GALLAGHER
Location Address85 HIGH STBuffalo, NY 14203-1149
Mailing Address425 Essjay Rd Ste 170Williamsville, NY 14221-8235 · (716) 630-1219 · Fax (716) 817-1726
Phone(716) 630-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 17, 2015
Last NPPES UpdateApril 15, 20263 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1699159889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 018850
85 HIGH ST, Buffalo, NY 14203
Open in Google Maps ↗

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

Michael 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 ID7517260334
PECOS Enrollment IDI20160127002485
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 5

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
159 services56 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
82 services32 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
16 services11 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
12 services11 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330279
Location565 Abbott RoadBuffalo, NY 14220 · Erie County
Emergency services Birthing friendly

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.

87.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.29
Promoting Interoperability100
Improvement Activities40
Cost74.86

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.

ERIN B MIDDLER P.A.
Physician Assistant
85 HIGH ST
BUFFALO, NY 14203
Erie County (716) 862-1969
AKHIL MOGALAPALLI
Internal Medicine
85 HIGH ST
BUFFALO, NY 14203
Erie County (716) 630-1000
DR. ALEC G MILLER MD
Internal Medicine
85 HIGH ST
BUFFALO, NY 14203
Erie County (716) 630-1000
BETHANY MCCLINSEY PA
Physician Assistant (Medical)
85 HIGH ST
BUFFALO, NY 14203
Erie County (716) 857-8607
RACHEL ELIZABETH HORVATH PA-C
Physician Assistant
85 HIGH ST
BUFFALO, NY 14203
Erie County (716) 630-1000
DR. JORDAN CINQUINO D.O
Internal Medicine
85 HIGH ST
BUFFALO, NY 14203
Erie County (716) 630-1000
DR. JEFFREY JOHN LACH DO
Hospitalist
85 HIGH ST
BUFFALO, NY 14203
Erie County (716) 630-1000
MR. VICTOR LEE SANDERS MD
Hospitalist
85 HIGH ST
BUFFALO, NY 14203
Erie County (716) 630-1000

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 Michael Gallagher's NPI number?

The NPI number for Michael Gallagher is 1699159889. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Where is Michael Gallagher located?

Michael Gallagher practices at 85 High St, Buffalo, NY 14203. The listed phone number is (716) 630-1000.

What is Michael Gallagher's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michael Gallagher enrolled in Medicare?

Yes. Michael Gallagher 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.

Is Michael Gallagher affiliated with any hospitals?

According to CMS data, Michael Gallagher is affiliated with Sisters Of Charity Hospital and Mercy Hospital Of Buffalo.

When was this NPI record last updated?

The NPPES record for Michael Gallagher was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.