Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DALE MARK GALLAGHER D.D.S.
NPI 1851395321
Dentist - Oral and Maxillofacial Surgery in Austin, TX

Active since June 11, 2005Opted out of Medicare · through Jun 22, 2027
12210 PECAN ST, AUSTIN, TX 78727(512) 258-1636 Get Directions Write a Review

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

About Dr. Dale Mark Gallagher D.d.s. NPPES

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

DR. DALE MARK GALLAGHER D.D.S. (NPI 1851395321) is an individual oral and maxillofacial surgery provider in Austin, Texas, licensed in Texas (14399) and active in the NPI registry since June 2005. He has opted out of Medicare through June 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1851395321
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DALE MARK GALLAGHERCredential: D.D.S.
Location Address12210 PECAN STAustin, TX 78727-6109
Mailing Address12210 Pecan StAustin, TX 78727-6109 · (512) 258-1636
Sole ProprietorNo
Enumeration DateJune 11, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1851395321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in TX · 14399
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
12210 PECAN ST, Austin, TX 78727

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Dale Mark Gallagher D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 22, 2013 through June 22, 2027.

Opt-Out Effective DateJune 22, 2013
Opt-Out In Effect ThroughJune 22, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78727 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

Other Providers at the Same Location NPPES 2

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

Oral & Maxillofacial Surgery
12210 PECAN ST
AUSTIN, TX 78727
Dentist (Oral and Maxillofacial Surgery)
12210 PECAN ST
AUSTIN, TX 78727

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 Dale Gallagher's NPI number?

The NPI number for Dale Gallagher is 1851395321. It was assigned to this individual provider in the NPPES registry on June 11, 2005.

Where is Dale Gallagher located?

Dale Gallagher practices at 12210 Pecan St, Austin, TX 78727. The listed phone number is (512) 258-1636.

What is Dale Gallagher's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Dale Gallagher enrolled in Medicare?

No. Dale Gallagher has opted out of Medicare through June 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dale Gallagher was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.