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MR. CONOR GALLIVAN PA
NPI 1710485214
Physician Assistant in Williamsville, NY

Active since January 30, 2018PECOS EnrolledAccepts Medicare Assignment
87.14/100
CMS Quality Rating
425 ESSJAY RD STE 180, WILLIAMSVILLE, NY 14221(716) 630-1140 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2021, Sep 25, 2019 (2 updates tracked since 2019).

About Mr. Conor Gallivan Pa NPPES

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

MR. CONOR GALLIVAN PA (NPI 1710485214) is an individual physician assistant in Williamsville, New York and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1710485214
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CONOR GALLIVANCredential: PA
Location Address425 ESSJAY RD STE 180Williamsville, NY 14221-5782
Mailing Address425 Essjay Rd Ste 170Williamsville, NY 14221-8235 · (716) 630-1219
Phone(716) 630-1140
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 30, 2018
Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1710485214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
425 ESSJAY RD STE 180, Williamsville, NY 14221
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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

Mr. Conor Gallivan Pa 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 ID1052673480
PECOS Enrollment IDI20180324000125
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 7

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 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.
393 services269 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
362 services74 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.
127 services86 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
120 services99 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
74 services69 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
28 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL B WIRTH MD
Dermatology (MOHS-Micrographic Surgery)
425 ESSJAY RD STE 180
WILLIAMSVILLE, NY 14221
Erie County (716) 630-1140
TESS LUZI
Physician Assistant
425 ESSJAY RD STE 180
WILLIAMSVILLE, NY 14221
Erie County (716) 630-1140
COLLEEN MARY WIRTH PHYSICIAN ASSISTANT
Physician Assistant (Medical)
425 ESSJAY RD STE 180
WILLIAMSVILLE, NY 14221
Erie County (716) 630-1140

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 Conor Gallivan's NPI number?

The NPI number for Conor Gallivan is 1710485214. It was assigned to this individual provider in the NPPES registry on January 30, 2018.

Where is Conor Gallivan located?

Conor Gallivan practices at 425 Essjay Rd Ste 180, Williamsville, NY 14221. The listed phone number is (716) 630-1140.

What is Conor Gallivan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Conor Gallivan enrolled in Medicare?

Yes. Conor Gallivan 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.

When was this NPI record last updated?

The NPPES record for Conor Gallivan was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.