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Michael Patrick Gallagher , FNP-BC

Nurse Practitioner โ€ข Fall River, MA

Active NPI 1528727989 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

300 Hanover St Ste 1f
Fall River, MA 027205451

Call 5089738611 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

300 Hanover St Ste 1f

Fall River, MA 027205451

Telephone 5089738611
Fax 5089738615
Organization at the Same NPPES Address or Phone
Southcoast Hospitals Group, Inc Facility NPI 1013931500

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Brockton, MA; Weymouth, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 3 distinct group names: Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is; Coastal Medical Associates; Southcoast Physicians Group Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Medicare patients

85 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $14,397 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $11,194 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Michael Gallagher has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Michael Gallagher as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fall River and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Fall River, MA (2024, 73 clinicians with data). Median for this group: 414. Middle half: 135 to 761.

Fewer Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,536 clinicians with data). Median for this group: 293. Middle half: 113 to 625.

Medicare-allowed amount

A lower Medicare-allowed amount than 65% of clinicians listed under Nurse Practitioner in Fall River, MA (2024, 73 clinicians with data). Median for this group: $35,841. Middle half: $10,174 to $63,775.

A lower Medicare-allowed amount than 65% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,536 clinicians with data). Median for this group: $24,187. Middle half: $9,751 to $49,233.

Paid by Medicare

A lower Medicare payment amount than 65% of clinicians listed under Nurse Practitioner in Fall River, MA (2024, 73 clinicians with data). Median for this group: $25,925. Middle half: $7,478 to $48,895.

A lower Medicare payment amount than 60% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,536 clinicians with data). Median for this group: $18,312. Middle half: $7,110 to $37,062.

96 active clinicians are listed under Nurse Practitioner with a practice address in Fall River, MA (3,483 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fall River

39.6% of these 96 clinicians have the CMS telehealth indicator.

81.2% of these 96 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
64 49 $841.33 $179.04
99292 Critical care, each additional 30 minutes
22 18 $408.00 $88.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
14 14 $205.00 $70.11

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-12
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MA RN2329252

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Nurse Practitioner
RN2329252 (MA)
Other Identifier Rn
RN2329252 (MA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20230124002128

Enrollment State Jurisdiction

MA

PECOS Control ID

8729457122

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Coastal Medical Associates

55 Fogg Rd, Weymouth, MA 021902432

Phone: 7817924136

Southcoast Physicians Group Inc

363 Highland Ave, Fall River, MA 027203703

Phone: 5089735919

Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is

340 Thompson Rd, Webster, MA 015701509

Phone: 5089432600

Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is

101 Page St, New Bedford, MA 027403464

Phone: 5086793131

Secondary Practice Locations

235 N Pearl St

Brockton, MA 023011794

Phone: 5084273000

55 Fogg Rd

Weymouth, MA 021902432

Phone: 7816248000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

12 listed
Dr. Purva Agarwal , MD

Preventive Medicine - Obesity Medicine

NPI 1750495271

Doctor of Medicine (M.D.)

Jessica Breen Sheth , PA-C

Physician Assistant

NPI 1871830414

Physician Assistant (Certified)

Rachel Choubah

Physician Assistant - Surgical

NPI 1376291906
Dr. Jacquelyn Cotton , MD

Preventive Medicine - Obesity Medicine

NPI 1770802001

Doctor of Medicine (M.D.)

Kristen Cummings

Nurse Practitioner

NPI 1366092314
NPI 1740428952

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
๐Ÿ“
Updated Practice Location September 12, 2024

Registered at 300 HANOVER ST STE 1F, FALL RIVER, MA 027205451 (Tel: 5089738611)

๐Ÿ“
Updated Business Mailing Address September 12, 2024

Registered at 200 MILL RD, FAIRHAVEN, MA 027195252 (Tel: 5089732000)

๐Ÿ“
Updated Business Mailing Address January 29, 2024

Registered at 90 CRIMSON HARVEST DR, KINGSTON, MA 023642066 (Tel: 6176539331)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2024

Nurse Practitioner (license number reported to NPPES: MA RN2329252)

๐Ÿ‘ค
Provider Name / Credentials Updated February 18, 2022

Recorded as MICHAEL GALLAGHER, FNP-BC

โœ…
NPI Profile Active December 14, 2021

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) December 14, 2021

Registered at 235 N PEARL ST, BROCKTON, MA 023011794 (Tel: 5084273000)

๐Ÿ“
Business Mailing Address (Initial Record) December 14, 2021

Registered at 235 N PEARL ST, BROCKTON, MA 023011794 (Tel: 5084273000)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) December 14, 2021

Recorded as MICHAEL GALLAGHER

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2021

Registered Nurse (license number reported to NPPES: MA RN2329252)

๐ŸŸข
Initial NPI Registration & Enumeration December 14, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1528727989
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2021
Last Update: September 12, 2024
Sole Proprietor: No

Other Nurse Practitioners in Fall River

All Nurse Practitioners in Fall River

Mailing Address

200 Mill Rd

Fairhaven, MA 027195252

Phone: 5089732000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.