JOSEPH P GALLAGHER MD
NPI 1881863785
Internal Medicine - Gastroenterology in Bangor, ME

Active since February 25, 2008PECOS EnrolledAccepts Medicare Assignment
98.44/100
CMS Quality Rating
360 BROADWAY STE 100, BANGOR, ME 04401(207) 907-3550(207) 907-3562 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 30, 2020, Dec 11, 2020, Sep 14, 2016 (3 updates tracked since 2016).

About Joseph P Gallagher Md NPPES

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

JOSEPH P GALLAGHER MD (NPI 1881863785) is an individual gastroenterology provider in Bangor, Maine, licensed in Maine (MD24310) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1881863785
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJOSEPH P GALLAGHERCredential: MD
Location Address360 BROADWAY STE 100Bangor, ME 04401-3985
Mailing AddressC/o St Marys Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-7291 · (207) 777-8560 · Fax (207) 777-8800
Fax(207) 907-3562
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1999
Enumeration DateFebruary 25, 2008
Last NPPES UpdateDecember 30, 20203 updates tracked since enumeration
NPPES CertifiedDecember 23, 2020
NPI 1881863785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in ME · MD24310 Licensed in NC · 2014-02357
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

360 BROADWAY STE 100, Bangor, ME 04401

Secondary Practice Location 1

Location 11000 Brabham Avenue, Attn: CredentialingWILMINGTON, NC 28546-5003 · Phone (910) 341-3300 · Fax (910) 251-2067

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

Joseph P 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 ID749581502
PECOS Enrollment IDI20201217000468
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
118 services117 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
57 services55 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services26 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
26 services26 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
24 services22 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.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

98.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality86.88
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Physician Assistant (Medical)
360 BROADWAY STE 100
BANGOR, ME 04401
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881863785, enumerated as an "individual" on February 25, 2008.

The provider is located at 360 BROADWAY STE 100 BANGOR, ME 04401 and the phone number is (207) 907-3550.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.

Joseph Gallagher is affiliated with: ST JOSEPH HOSPITAL and NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER.