DAVID GALLAGHER MD
NPI 1730128927
Orthopaedic Surgery in Augusta, GA

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
68.13/100
CMS Quality Rating
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909(706) 863-9797(706) 868-9209 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David Gallagher Md NPPES

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

DAVID GALLAGHER MD (NPI 1730128927) is an individual orthopaedic surgery provider in Augusta, Georgia, licensed in Georgia (053226) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2001).

NPPES Registry Identity

NPI1730128927
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDAVID GALLAGHERCredential: MD
Location Address3650 J DEWEY GRAY CIRAugusta, GA 30909-1867
Mailing Address3650 J Dewey Gray CirAugusta, GA 30909-1867 · (706) 863-9797 · Fax (706) 868-9209
Fax(706) 868-9209
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2001
Enumeration DateJune 5, 2006
Last NPPES UpdateApril 11, 2011
NPI 1730128927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in GA · 053226
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3650 J DEWEY GRAY CIR, Augusta, GA 30909

Other Identifiers 4

Other20NCCNRMedicare
Medicare UPINI54684
Other199878Blue Cross Blue Shield
Medicaid315294700AGA

Accepted Insurance

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

David Gallagher Md 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 ID5597778225
PECOS Enrollment IDI20060726000008
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 12

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
368 services58 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.
280 services181 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
89 services59 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
72 services55 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.
67 services66 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
61 services42 patients

Hospital Affiliations CMS Care Compare 5

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Jefferson Hospital

Acute Care Hospitals · Louisville, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110100
Location1067 Peachtree StLouisville, GA 30434 · Jefferson County
Emergency services

Burke Medical Center

Acute Care Hospitals · Waynesboro, GA
OwnershipProprietary
CMS Certification Number110113
Location351 South Liberty StreetWaynesboro, GA 30830 · Burke County

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Wills Memorial Hospital

Critical Access Hospitals · Washington, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111325
Location120 Gordon StreetWashington, GA 30673 · Wilkes County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

68.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality43.15
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
59%552 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
95%2,895 patients4/55-star benchmark: 100%
e-Prescribing
96%452 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
63%567 patients3/55-star benchmark: 100%
Functional Status Assessment for Total Hip Replacement
0%21 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
7%1,701 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 58% · 1,261 patients
Patients screened: 66% · 1,261 patients
16%113 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
74%901 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 617 patients
Patients totalRate: 5% · 617 patients
4%617 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers12 claims12 services$46.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Orthopaedic Surgery
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Orthopaedic Surgery
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Physician Assistant
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Physician Assistant (Surgical)
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Physical Therapist
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Physician Assistant
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Orthopaedic Surgery
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909

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 David Gallagher's NPI number?

The NPI number for David Gallagher is 1730128927. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is David Gallagher located?

David Gallagher practices at 3650 J Dewey Gray Cir, Augusta, GA 30909. The listed phone number is (706) 863-9797.

What is David Gallagher's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David Gallagher enrolled in Medicare?

Yes. David 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.

What insurance does David Gallagher accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Absolute Total Care and Ambetter of North Carolina list David Gallagher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Gallagher affiliated with any hospitals?

According to CMS data, David Gallagher is affiliated with Piedmont Augusta Hospital, Jefferson Hospital, Burke Medical Center, Doctors Hospital and Wills Memorial Hospital.

When was this NPI record last updated?

The NPPES record for David Gallagher was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.