Active NPI 1104811769 Individual Practitioner Male Practitioner

Dr. Ronald J Gailun , MD

Ophthalmology • Springfield, MA

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Gailun, MD is a registered healthcare professional specializing in Ophthalmology in Springfield, MA. Practice services are available at 3640 MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, imaging of retina, injection of drug into eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3640 Main St
Ste 201

Springfield, MA 011071145

Telephone 4137322333

Fax 4137328065

Associated Practice Facility / Clinic

🏢 Chelsea Mri Pc Facility NPI 1376595470

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Springfield, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.8 Yrs

State Avg: 30.8 Yrs

Regional Practice Density

19 Specialists

Practicing in Springfield, MA (841 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

41.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	7,080	39	$40.00	$36.93
92134 Imaging of retina	577	280	$100.00	$41.70
67028 Injection of drug into eye	298	129	$520.97	$120.76
J0178 Injection, aflibercept, 1 mg	258	56	$1050.00	$881.00
92014 Established patient complete exam of visual system	252	245	$285.00	$130.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	153	111	$90.00	$58.25
92012 Established patient problem focused exam of visual system	138	115	$160.00	$93.21
J9035 Injection, bevacizumab, 10 mg	59	35	$200.00	$69.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	3,660	33	$40.00	$37.45
92134 Imaging of retina	1,257	423	$99.96	$42.39
J3590 Unclassified biologics	793	46	$402.52	$371.18
67028 Injection of drug into eye	710	187	$519.01	$121.69
J0178 Injection, aflibercept, 1 mg	668	117	$1050.00	$901.33
92014 Established patient complete exam of visual system	413	306	$285.00	$132.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	369	188	$90.00	$58.90
92012 Established patient problem focused exam of visual system	241	169	$160.52	$93.49
J9035 Injection, bevacizumab, 10 mg	197	88	$200.00	$68.41
92004 New patient complete exam of visual system	83	83	$300.00	$157.28
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$140.00	$94.97
92250 Photography of the retina	16	11	$300.00	$38.91
92235 Exam of retinal blood vessels using a special camera after injection of a dye	16	15	$540.00	$133.42
76512 Ultrasound of eye disease, growth, or structure	13	11	$530.00	$58.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,226	408	$99.84	$43.06
J0178 Injection, aflibercept, 1 mg	906	119	$1050.00	$914.59
67028 Injection of drug into eye	743	203	$531.29	$123.45
92012 Established patient problem focused exam of visual system	390	215	$160.04	$94.54
J9035 Injection, bevacizumab, 10 mg	284	118	$200.00	$72.46
92014 Established patient complete exam of visual system	252	213	$285.24	$133.63
J2778 Injection, ranibizumab, 0.1 mg	226	18	$420.00	$315.70
92004 New patient complete exam of visual system	122	122	$300.00	$158.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	63	$90.00	$59.11
99213 Established patient office or other outpatient visit, typically 15 minutes	48	46	$140.00	$95.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	38	$365.00	$189.34
92250 Photography of the retina	31	29	$169.35	$39.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$210.00	$135.79
92235 Exam of retinal blood vessels using a special camera after injection of a dye	17	16	$524.12	$125.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,104	379	$100.00	$43.51
67028 Injection of drug into eye	607	179	$530.48	$110.64
J0179 Injection, brolucizumab-dbll, 1 mg	588	40	$350.00	$313.60
J0178 Injection, aflibercept, 1 mg	572	93	$1050.00	$927.97
92012 Established patient problem focused exam of visual system	486	244	$160.00	$94.39
92014 Established patient complete exam of visual system	243	231	$285.06	$133.80
J9035 Injection, bevacizumab, 10 mg	221	98	$200.00	$77.31
J2778 Injection, ranibizumab, 0.1 mg	125	12	$420.00	$329.04
92004 New patient complete exam of visual system	86	86	$300.00	$160.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	50	$210.00	$115.39
92250 Photography of the retina	26	25	$150.00	$47.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,253	448	$100.00	$43.17
J0178 Injection, aflibercept, 1 mg	715	89	$1050.00	$942.75
67028 Injection of drug into eye	685	179	$513.14	$108.35
92012 Established patient problem focused exam of visual system	553	256	$160.03	$92.93
J9035 Injection, bevacizumab, 10 mg	301	119	$200.00	$79.48
92014 Established patient complete exam of visual system	289	274	$285.21	$132.65
92004 New patient complete exam of visual system	136	136	$300.00	$158.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	34	$210.00	$113.43
92250 Photography of the retina	28	28	$150.00	$49.25
J3590 Unclassified biologics	24	18	$2100.00	$1929.62
92235 Exam of retinal blood vessels using a special camera after injection of a dye	12	12	$540.00	$90.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,076	393	$100.00	$42.47
J0178 Injection, aflibercept, 1 mg	634	85	$1050.00	$953.62
67028 Injection of drug into eye	592	159	$500.00	$104.04
92012 Established patient problem focused exam of visual system	498	253	$160.00	$89.60
92014 Established patient complete exam of visual system	274	258	$285.05	$128.60
J9035 Injection, bevacizumab, 10 mg	267	101	$120.82	$67.21
92004 New patient complete exam of visual system	80	80	$300.00	$153.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	19	$210.00	$109.09
92250 Photography of the retina	14	14	$150.00	$56.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,184	413	$100.00	$42.73
J0178 Injection, aflibercept, 1 mg	790	81	$1050.00	$962.46
67028 Injection of drug into eye	759	172	$500.00	$105.37
92012 Established patient problem focused exam of visual system	562	265	$160.00	$88.98
J9035 Injection, bevacizumab, 10 mg	351	124	$60.00	$58.88
92014 Established patient complete exam of visual system	280	275	$285.38	$128.62
92004 New patient complete exam of visual system	95	95	$300.00	$153.74
92250 Photography of the retina	27	26	$155.56	$66.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	16	$214.29	$110.90
92225 Examination of eye by ophthalmoscope with retinal drawing	12	11	$80.00	$27.96
92235 Exam of retinal blood vessels using a special camera after injection of a dye	12	12	$517.50	$74.08

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MA 45758

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0140244 (MA)

Commercial Insurance / Payer ID Connecticare

737950

Commercial Insurance / Payer ID Us Healthcare

608602

Commercial Insurance / Payer ID Harvard Pilgrim

150656

Commercial Insurance / Payer ID Tufts

738871

Commercial Insurance / Payer ID Bcbs Mass

N51730

Commercial Insurance / Payer ID Health New Eng

12516

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. David Agahigian , MD

Ophthalmology

NPI 1205822293

Doctor of Medicine (M.D.)

Dr. Hari Mylvaganam , MD

Ophthalmology

NPI 1386062040

Doctor of Medicine (M.D.)

Dr. Shilpa Gulati , MD

Ophthalmology

NPI 1417375577

Doctor of Medicine (M.D.)

Dr. David Lally , MD

Ophthalmology

NPI 1457686586

Doctor of Medicine (M.D.)

Dr. Rebecca Soares , MD

Ophthalmology - Retina Specialist

NPI 1811346414

Doctor of Medicine (M.D.)

Dr. Andrew Lam , MD

Ophthalmology

NPI 1952375586

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 09, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 09, 2016

Registered at 3640 MAIN ST, STE 201, SPRINGFIELD, MA 011071145 (Tel: 4137322333)

📍

Updated Business Mailing Address March 09, 2016

Registered at 3640 MAIN ST, STE 201, SPRINGFIELD, MA 011071145 (Tel: 4137322333)

👤

Provider Name / Credentials Updated March 09, 2016

Recorded as RONALD GAILUN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2016

Ophthalmology (License #45758 in MA)

🟢

Initial NPI Registration & Enumeration September 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104811769

Entity Type:

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

Enumeration Date: September 20, 2005

Last Update: March 09, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3640 Main St, Ste 201

Springfield, MA 011071145

Phone: 4137322333

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.