DOMINIC RUDOLPH GALLO M.D.
NPI 1891803821
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Augusta, GA

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1003 CHAFEE AVE, AUGUSTA, GA 30904(707) 721-8937(706) 721-7508 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 20, 2025, Mar 17, 2018, Jun 29, 2016 (3 updates tracked since 2016).

About Dominic Rudolph Gallo M.d. NPPES

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

DOMINIC RUDOLPH GALLO M.D. (NPI 1891803821) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Augusta, Georgia, licensed in Georgia (042823) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891803821
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDOMINIC RUDOLPH GALLOCredential: M.D.
Location Address1003 CHAFEE AVEAugusta, GA 30904-5867
Mailing Address3624 J Dewey Gray Cir Ste 301Augusta, GA 30909-6580
Fax(706) 721-7508
Sole ProprietorYes
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1995
Enumeration DateAugust 29, 2006
Last NPPES UpdateMarch 20, 20253 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
NPI 1891803821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in GA · 042823
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1003 CHAFEE AVE, Augusta, GA 30904

Secondary Practice Locations 2

Location 13623 J Dewey Gray Cir Ste 202Augusta, GA 30909-6554 · Phone (706) 863-8181
Location 23624 J Dewey Gray Cir Ste 301Augusta, GA 30909-6580 · Phone (706) 863-8181 · Fax (706) 863-8175

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

Dominic Rudolph 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 ID3678611019
PECOS Enrollment IDI20091105000215
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
49 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
41 services23 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
25 services25 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.
23 services22 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
14 services14 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30904 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
100%64 patients5/55-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.

Other Providers at the Same Location NPPES 4

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

Physician Assistant
1003 CHAFEE AVE
AUGUSTA, GA 30904
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1003 CHAFEE AVE
AUGUSTA, GA 30904
Pharmacist (Ambulatory Care)
1003 CHAFEE AVE
AUGUSTA, GA 30904
Physician Assistant (Surgical)
1003 CHAFEE AVE
AUGUSTA, GA 30904

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 Dominic Gallo's NPI number?

The NPI number for Dominic Gallo is 1891803821. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Dominic Gallo located?

Dominic Gallo practices at 1003 Chafee Ave, Augusta, GA 30904. The listed phone number is (707) 721-8937.

What is Dominic Gallo's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Dominic Gallo enrolled in Medicare?

Yes. Dominic 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 Dominic Gallo accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Dominic 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 Dominic Gallo affiliated with any hospitals?

According to CMS data, Dominic Gallo is affiliated with Au Medical Center and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Dominic Gallo was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.