Active NPI 1467640292 Individual Practitioner Female Practitioner

Carolyn Jean Gale , PA-C

Physician Assistant • Walnut, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carolyn Gale, PA-C is a certified Physician Assistant practicing in Walnut, IL. With approximately 30 years of clinical experience since completing medical education in 1996, Carolyn Gale delivers high-quality medical care to the local community at 101 N MAIN ST.

Carolyn Gale is affiliated with Osf Healthcare System and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, vaccine for influenza for injection into muscle. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 N Main St

Walnut, IL 61376

Telephone 8153792020

Fax 8153792018

Associated Practice Facility / Clinic

🏢 Julia Rackley Perry Memorial Hospital Facility NPI 1033649967

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Walnut, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs Matches City Avg

City Avg: 30.0 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Walnut, IL (4958 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gale (30 Years) 30 Yrs

Walnut Specialty Average (30.0 Years) 30.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	59	$294.00	$104.38
99213 Established patient office or other outpatient visit, typically 15 minutes	52	36	$208.00	$73.83
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	13	13	$49.00	$13.51
90653 Vaccine for influenza for injection into muscle	11	11	$75.00	$73.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	40	$269.12	$106.42
36415 Insertion of needle into vein for collection of blood sample	67	38	$27.30	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	66	36	$191.33	$75.42
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	62	47	$182.35	$56.93
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	22	21	$287.00	$30.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	18	$242.00	$74.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	13	$116.11	$46.93
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	16	13	$182.75	$57.05
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	16	14	$239.25	$74.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$138.81	$108.43
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	15	13	$115.53	$36.08
81003 Automated urinalysis test	14	11	$13.00	$2.23
G0009 Administration of pneumococcal vaccine	13	13	$30.62	$28.14
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	11	11	$509.82	$278.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	72	37	$30.82	$3.00
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	64	35	$132.42	$57.81
99213 Established patient office or other outpatient visit, typically 15 minutes	63	33	$156.14	$76.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	33	$230.27	$108.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	16	$95.75	$46.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$192.62	$102.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	92	30	$32.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	84	38	$142.90	$63.08
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	83	40	$130.00	$59.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	27	$208.42	$91.44
90662 Influenza vaccine split virus, preservative free	17	16	$69.56	$60.30
81003 Automated urinalysis test	14	11	$60.29	$2.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	34	20	$32.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	30	23	$137.00	$61.44
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	23	20	$130.00	$57.72
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	22	$35.00	$18.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$202.00	$90.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$75.46	$43.11

Medical Specialties & State Licenses

CMS Verified: 2020-10-15

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085001195

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License CO 2224

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License AK 5541

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

085001195 (IL)

Hospital & Practice Group Affiliations

Osf Healthcare System

530 Park Ave E, Princeton, IL 613563903

Phone: 8158763350

Osf Healthcare System

1000 W Harlem Ave, Monmouth, IL 614621007

Phone: 3097343141

Osf Healthcare System

530 Park Ave E, Princeton, IL 613563903

Phone: 8158763350

Secondary Practice Locations

2128 N Main St

Princeton, IL 613569728

Phone: 8158752273

327 Edward St

Henry, IL 615371539

Phone: 3093642002

530 Park Ave E

Princeton, IL 61356

Phone: 8158752811

535 Park Ave E

Princeton, IL 613562537

Phone: 8158754531

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Daniel Fuertges , DDS

Dentist - General Practice

NPI 1508069717

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2020

Physician Assistant (License #085001195 in IL)

📍

Updated Practice Location September 25, 2019

Registered at 101 N MAIN ST, WALNUT, IL 61376 (Tel: 8153792020)

✅

NPI Profile Active September 18, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 18, 2015

Registered at 15 W 3RD ST, STERLING, IL 610813510 (Tel: 8154602273)

📍

Updated Business Mailing Address September 18, 2015

Registered at 101 E MILLER RD, STERLING, IL 610811252 (Tel: 8156254790)

👤

Provider Name / Credentials Updated September 18, 2015

Recorded as CAROLYN GALE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2015

Physician Assistant (License #2224 in CO)

🟢

Initial NPI Registration & Enumeration October 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467640292

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 05, 2007

Last Update: October 15, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

101 E Miller Rd

Sterling, IL 610811252

Phone: 8156254790

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.