DR. MICHAEL D. GALLO M.D.
NPI 1861856510
Family Medicine - Sleep Medicine in Provo, UT

Q: What is Michael Gallo's NPI number?

The NPI number for Michael Gallo is 1861856510. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Q: What is Michael Gallo's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Q: When was this NPI record last updated?

The NPPES record for Michael Gallo was last updated on August 13, 2024. 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.

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment

99.93/100

CMS Quality Rating

395 W COUGAR BLVD, PROVO, UT 84604(801) 357-7291(801) 357-7919 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2024, Sep 2, 2022, Aug 23, 2022 and 2 more (5 updates tracked since 2021).

On this page

About Dr. Michael D. Gallo M.d. NPPES

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

DR. MICHAEL D. GALLO M.D. (NPI 1861856510) is an individual sleep medicine provider in Provo, Utah, licensed in Utah (14058793-1205) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1861856510

Entity TypeIndividualMale

Primary Taxonomy207QS1201X

Provider Legal NameDR. MICHAEL D. GALLOCredential: M.D.

Location Address395 W COUGAR BLVDProvo, UT 84604-3311

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 357-7291

Fax(801) 357-7919

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 8, 2016

Last NPPES UpdateAugust 13, 20245 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1861856510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS1201X

Licenses✔ Licensed in UT · 14058793-1205✔ Licensed in FL · ME158255✔ Licensed in MI · 4301502051

Definition

A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

395 W COUGAR BLVD, Provo, UT 84604

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Secondary Practice Location 1

Location 17400 SW 87th Ave Ste 100Miami, FL 33173-5458 · Phone (786) 204-4201 · Fax (786) 591-6001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Dr. Michael D. Gallo 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 ID3274889498

PECOS Enrollment IDI20240819003186

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

59 services59 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.

56 services48 patients

Sleep study including heart rate, breathing, and sleep time 95800

A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.

26 services26 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

25 services23 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

25 services24 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.

25 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460001

Location1034 North 500 WestProvo, UT 84604 · Utah County

Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460023

Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County

Emergency services Birthing friendly

Sevier Valley Hospital

Acute Care Hospitals · Richfield, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number460026

Location1000 North Main StreetRichfield, UT 84701 · Sevier County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

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.

99.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.3

Promoting Interoperability

100

Improvement Activities

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.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers13 claims13 services$31.26 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 18

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

DANIEL N. BENNETT MD

Internal Medicine (Cardiovascular Disease)

395 W COUGAR BLVD
PROVO, UT 84604

Utah County (801) 357-4600

AMBER ELEXIS MARSH FNP-C

Nurse Practitioner (Adult Health)

395 W COUGAR BLVD
PROVO, UT 84604

Utah County (801) 357-7850

MEGAN E JENSEN-HILL PA-C

Physician Assistant

395 W COUGAR BLVD, STE 803
PROVO, UT 84604

Utah County (801) 235-7246

AUSTIN GUY BLANCHARD

Nurse Practitioner

395 W COUGAR BLVD
PROVO, UT 84604

Utah County (801) 357-4600

KAYLA NORTON MS, RDN

Dietitian, Registered

395 W COUGAR BLVD
PROVO, UT 84604

Utah County (801) 357-4141

EMMA CAROL CALVERT ELISON RN

Registered Nurse (Diabetes Educator)

395 W COUGAR BLVD
PROVO, UT 84604

Utah County (801) 357-7546

IHC HEALTH SERVICES INC

Internal Medicine (Rheumatology)

395 W COUGAR BLVD
PROVO, UT 84604

Utah County (801) 442-2000

JAKOB MROZEWSKI MD

Psychiatry & Neurology (Neurology)

395 W COUGAR BLVD
PROVO, UT 84604

Utah County (801) 357-7420

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 Michael Gallo's NPI number?

The NPI number for Michael Gallo is 1861856510. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Michael Gallo located?

Michael Gallo practices at 395 W Cougar Blvd, Provo, UT 84604. The listed phone number is (801) 357-7291.

What is Michael Gallo's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Is Michael Gallo enrolled in Medicare?

Yes. Michael Gallo 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 Michael Gallo accept?

Health plans from Select Health list Michael Gallo 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 Michael Gallo affiliated with any hospitals?

According to CMS data, Michael Gallo is affiliated with Utah Valley Hospital, American Fork Hospital and Sevier Valley Hospital.

When was this NPI record last updated?

The NPPES record for Michael Gallo was last updated on August 13, 2024. 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.