MR. JAMES A GALLEGRO DSCPT
NPI 1790860203
Physical Therapist in Raleigh, NC

Active since October 25, 2006Accepts Medicare Assignment
88.4/100
CMS Quality Rating
3100 DURALEIGH RD STE 100, RALEIGH, NC 27612(919) 763-1500 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2023, Dec 13, 2022, Apr 10, 2021 and 1 more (4 updates tracked since 2020).

About Mr. James A Gallegro Dscpt NPPES

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

MR. JAMES A GALLEGRO DSCPT (NPI 1790860203) is an individual physical therapist in Raleigh, North Carolina, licensed in North Carolina (P21816) and active in the NPI registry since October 2006. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1790860203
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. JAMES A GALLEGROCredential: DSCPT
Location Address3100 DURALEIGH RD STE 100Raleigh, NC 27612-8105
Mailing AddressPo Box 5105Belfast, ME 04915-5100 · (919) 220-5255 · Fax (919) 220-6971
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 25, 2006
Last NPPES UpdateOctober 30, 20234 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
NPI 1790860203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in NC · P21816 Licensed in NY · 022788
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 022788 (NY)
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 022788 (NY)
3100 DURALEIGH RD STE 100, Raleigh, NC 27612

Other Identifiers 1

OtherP21816NC · Pt License

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

Mr. James A Gallegro Dscpt 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 ID6608975917
PECOS Enrollment IDI20230123002082

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.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
146 services38 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
128 services38 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
115 services36 patients
Application of blood vessel compression device 97016
A blood vessel compression device is applied to control bleeding and promote clotting after a procedure. This device applies pressure to your blood vessels, reducing the chance of excessive bleeding. It's a safe, standard part of many medical procedures.
31 services12 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
21 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

Other Providers at the Same Location NPPES 16

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

Physical Therapist
3100 DURALEIGH RD STE 100
RALEIGH, NC 27612
Physical Therapist
3100 DURALEIGH RD STE 100
RALEIGH, NC 27612
Physician Assistant
3100 DURALEIGH RD STE 100
RALEIGH, NC 27612
Occupational Therapist
3100 DURALEIGH RD STE 100
RALEIGH, NC 27612
Physician Assistant
3100 DURALEIGH RD STE 100
RALEIGH, NC 27612
Occupational Therapist
3100 DURALEIGH RD STE 100
RALEIGH, NC 27612
Physical Therapist
3100 DURALEIGH RD STE 100
RALEIGH, NC 27612
Physician Assistant
3100 DURALEIGH RD STE 100
RALEIGH, NC 27612

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 James Gallegro's NPI number?

The NPI number for James Gallegro is 1790860203. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is James Gallegro located?

James Gallegro practices at 3100 Duraleigh Rd Ste 100, Raleigh, NC 27612. The listed phone number is (919) 763-1500.

What is James Gallegro's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is James Gallegro enrolled in Medicare?

Yes. James Gallegro 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 James Gallegro accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list James Gallegro 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.

When was this NPI record last updated?

The NPPES record for James Gallegro was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.