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DENISE SOPHIA GALLAGHER M.D.
NPI 1699980151
Ophthalmology in Pittsburgh, PA

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
203 LOTHROP ST, SUITE 819, PITTSBURGH, PA 15213(412) 647-2481 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Denise Sophia Gallagher M.d. NPPES

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

DENISE SOPHIA GALLAGHER M.D. (NPI 1699980151) is an individual ophthalmology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD431740) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2003).

NPPES Registry Identity

NPI1699980151
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDENISE SOPHIA GALLAGHERCredential: M.D.
Location Address203 LOTHROP ST, SUITE 819Pittsburgh, PA 15213-2548
Mailing Address203 Lothrop St Fl 8Pittsburgh, PA 15213-2548 · (412) 647-2362
Phone(412) 647-2481
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2003
Enumeration DateMay 10, 2007
Last NPPES UpdateApril 15, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1699980151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in PA · MD431740✔ Licensed in NY · 243899-1
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
203 LOTHROP ST, Pittsburgh, PA 15213
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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

Denise Sophia Gallagher 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 ID2961502992
PECOS Enrollment IDI20070705000331
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 9

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
4,500 services19 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
330 services167 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
180 services62 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.
139 services76 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
122 services114 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.
110 services91 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

ARIANA DESAI
Speech-Language Pathologist
203 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-6461
LINDSEY SOLES PA
Otolaryngology
203 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-2100
RITA HERSAN
Speech-Language Pathologist
203 LOTHROP ST, 500
PITTSBURGH, PA 15213
Allegheny County (412) 647-2130
BROOKE MARSHALL BROWNING PA-C
Physician Assistant (Medical)
203 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-2200
MARY KATE SIMPSON CCC-SLP
Speech-Language Pathologist
203 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-4524
GABRIELLE BONHOMME
Ophthalmology
203 LOTHROP ST, EEINS, 6TH, 7TH AND 8TH FLOORS
PITTSBURGH, PA 15213
Allegheny County (412) 647-2200
BRANDON T SMITH MD
Student in an Organized Health Care Education/Training Program
203 LOTHROP ST, SUITE 300
PITTSBURGH, PA 15213
Allegheny County (412) 647-2100
MR. RICK J HYRE AUD
Specialist
203 LOTHROP ST, 500 EEINS
PITTSBURGH, PA 15213
Allegheny County (412) 647-2130

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 Denise Gallagher's NPI number?

The NPI number for Denise Gallagher is 1699980151. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Denise Gallagher located?

Denise Gallagher practices at 203 Lothrop St Suite 819, Pittsburgh, PA 15213. The listed phone number is (412) 647-2481.

What is Denise Gallagher's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Denise Gallagher enrolled in Medicare?

Yes. Denise 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 Denise Gallagher affiliated with any hospitals?

According to CMS data, Denise Gallagher is affiliated with Upmc Mercy and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Denise Gallagher was last updated on April 15, 2021. 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.