DR. PETER F GALA JR. DC, FNP-C, PMHNP-BC
NPI 1962466094
Nurse Practitioner - Family in Denver, CO

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
59.7/100
CMS Quality Rating
6850 E EVANS AVE STE 102, DENVER, CO 80224(303) 691-5009 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2024, Apr 19, 2024, Mar 13, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Peter F Gala Jr. Dc, Fnp-c, Pmhnp-bc NPPES

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

DR. PETER F GALA JR. DC, FNP-C, PMHNP-BC (NPI 1962466094) is an individual family provider in Denver, Colorado, licensed in Colorado (0992250-NP) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Monument, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1962466094
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. PETER F GALA JR.Credential: DC, FNP-C, PMHNP-BC
Location Address6850 E EVANS AVE STE 102Denver, CO 80224-2300
Mailing Address1570 Longview CirMonument, CO 80132-8060 · (720) 318-4953
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 14, 2006
Last NPPES UpdateMay 20, 20244 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
NPI 1962466094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CO · 0992250-NP
Also ListedChiropractorTaxonomy 111N00000X · License 5373 (CO)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 0992250-NP (CO)
6850 E EVANS AVE STE 102, Denver, CO 80224

Secondary Practice Location 1

Location 11570 Longview CirMonument, CO 80132-8060 · Phone (720) 318-4953

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. Peter F Gala Jr. Dc, Fnp-c, Pmhnp-bc 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 ID5597713461
PECOS Enrollment IDI20170506000010
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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
722 services118 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
258 services88 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
25 services25 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.
21 services18 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
17 services13 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80224 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

59.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.31
Improvement Activities0
Cost51.25

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$61.19 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 5

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

Nurse Practitioner (Family)
6850 E EVANS AVE STE 102
DENVER, CO 80224
Nurse Practitioner (Primary Care)
6850 E EVANS AVE STE 102
DENVER, CO 80224
Nurse Practitioner
6850 E EVANS AVE STE 102
DENVER, CO 80224
Nurse Practitioner (Family)
6850 E EVANS AVE STE 102
DENVER, CO 80224
Nurse Practitioner
6850 E EVANS AVE STE 102
DENVER, CO 80224

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 Peter Gala's NPI number?

The NPI number for Peter Gala is 1962466094. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Peter Gala located?

Peter Gala practices at 6850 E Evans Ave Ste 102, Denver, CO 80224. The listed phone number is (303) 691-5009.

What is Peter Gala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Peter Gala enrolled in Medicare?

Yes. Peter Gala 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.

When was this NPI record last updated?

The NPPES record for Peter Gala was last updated on May 20, 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.