Active NPI 1720013923 Individual Practitioner Male Practitioner

Dr. Jeffrey P Gallo , MD

Ophthalmology • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Gallo, MD is a certified Ophthalmology practicing in Worcester, MA. With approximately 35 years of clinical experience since graduating from University Of Massachusetts Medical School in 1991, Dr. Gallo delivers high-quality medical care to the local community at 25 OAK AVENUE.

Dr. Gallo is affiliated with Worcester Ophthalmology Associates Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

25 Oak Avenue

Worcester, MA 016052751

Telephone 5084212010

Fax 5087568078

Associated Practice Facility / Clinic

🏢 Worcester Urological Associates Inc Facility NPI 1285634782

Medicare Profile & Education

Medical School

University Of Massachusetts Medical School

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +7.4 yrs vs City Avg

City Avg: 27.6 Yrs

State Avg: 30.8 Yrs

Regional Practice Density

43 Specialists

Practicing in Worcester, MA (841 Statewide)

Telehealth Adoption Rate

2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gallo (35 Years) 35 Yrs

Worcester Specialty Average (27.6 Years) 27.6 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
92014 Established patient complete exam of visual system	833	826	$300.00	$136.34
92250 Photography of the retina	504	477	$150.00	$39.90
99213 Established patient office or other outpatient visit, typically 15 minutes	476	343	$181.14	$97.77
92133 Imaging of optic nerve	309	305	$100.00	$39.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	296	256	$264.02	$137.83
92083 Exam of visual field with extended testing	246	227	$145.00	$68.94
92134 Imaging of retina	160	151	$100.00	$43.78
92004 New patient complete exam of visual system	75	75	$309.33	$161.43
92285 Photography of content of eyes	35	33	$100.00	$24.69
65855 Laser repair to improve eye fluid flow	30	22	$600.00	$307.53
76514 Ultrasound scan of cornea to determine thickness	29	29	$22.76	$11.51
92025 Ct scan of cornea	20	20	$80.00	$39.40
66821 Removal of recurring cataract in lens capsule using a laser	20	20	$522.50	$387.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	823	813	$300.00	$130.58
99213 Established patient office or other outpatient visit, typically 15 minutes	561	392	$175.00	$92.48
92250 Photography of the retina	502	473	$150.00	$38.38
92133 Imaging of optic nerve	312	306	$100.00	$37.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	293	262	$250.00	$130.39
92083 Exam of visual field with extended testing	253	234	$145.00	$65.15
92134 Imaging of retina	161	154	$100.00	$41.62
65855 Laser repair to improve eye fluid flow	63	51	$600.00	$271.35
92004 New patient complete exam of visual system	56	56	$300.00	$154.99
76514 Ultrasound scan of cornea to determine thickness	35	34	$19.43	$10.83
92285 Photography of content of eyes	28	27	$100.00	$24.23
66821 Removal of recurring cataract in lens capsule using a laser	28	27	$500.00	$380.57
92025 Ct scan of cornea	21	21	$80.00	$37.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	801	790	$300.00	$134.55
99213 Established patient office or other outpatient visit, typically 15 minutes	576	408	$175.00	$95.13
92250 Photography of the retina	403	399	$150.00	$39.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	265	$250.00	$134.06
92133 Imaging of optic nerve	287	285	$100.00	$38.93
92083 Exam of visual field with extended testing	256	240	$145.00	$66.75
92134 Imaging of retina	135	127	$100.00	$43.02
92004 New patient complete exam of visual system	71	71	$300.00	$157.52
76514 Ultrasound scan of cornea to determine thickness	45	45	$20.00	$11.56
65855 Laser repair to improve eye fluid flow	39	35	$600.00	$275.27
66821 Removal of recurring cataract in lens capsule using a laser	39	39	$500.00	$391.63
92285 Photography of content of eyes	31	31	$100.00	$24.06
92025 Ct scan of cornea	23	18	$80.00	$34.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	712	700	$300.00	$133.79
99213 Established patient office or other outpatient visit, typically 15 minutes	444	313	$175.00	$95.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	397	318	$250.00	$135.79
92133 Imaging of optic nerve	305	297	$100.00	$39.12
92250 Photography of the retina	279	277	$150.00	$41.20
92083 Exam of visual field with extended testing	248	233	$145.00	$67.25
92004 New patient complete exam of visual system	101	101	$300.00	$159.18
92134 Imaging of retina	97	91	$100.00	$43.11
76514 Ultrasound scan of cornea to determine thickness	77	77	$20.00	$11.57
66821 Removal of recurring cataract in lens capsule using a laser	38	37	$500.00	$362.07
65855 Laser repair to improve eye fluid flow	33	27	$600.00	$272.31
92285 Photography of content of eyes	31	31	$100.00	$24.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$325.00	$168.21
92025 Ct scan of cornea	15	15	$80.00	$38.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	611	599	$300.00	$134.90
99213 Established patient office or other outpatient visit, typically 15 minutes	239	191	$170.82	$79.88
92250 Photography of the retina	199	196	$150.00	$47.91
92083 Exam of visual field with extended testing	190	167	$130.50	$61.45
92133 Imaging of optic nerve	185	180	$100.00	$39.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	160	$250.00	$115.91
92012 Established patient problem focused exam of visual system	158	129	$192.56	$94.63
92134 Imaging of retina	92	83	$99.46	$43.26
92004 New patient complete exam of visual system	75	75	$294.00	$160.61
76514 Ultrasound scan of cornea to determine thickness	29	29	$20.00	$11.80
92285 Photography of content of eyes	22	22	$100.00	$23.76
66821 Removal of recurring cataract in lens capsule using a laser	20	20	$525.00	$381.59
65855 Laser repair to improve eye fluid flow	15	14	$640.00	$274.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	793	787	$243.88	$133.50
99213 Established patient office or other outpatient visit, typically 15 minutes	375	271	$150.00	$77.82
92012 Established patient problem focused exam of visual system	288	187	$175.00	$93.33
92250 Photography of the retina	251	244	$150.00	$53.34
92083 Exam of visual field with extended testing	243	198	$128.60	$56.65
92133 Imaging of optic nerve	237	231	$100.00	$38.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	130	$250.00	$113.60
92004 New patient complete exam of visual system	117	117	$275.00	$159.63
92134 Imaging of retina	83	76	$100.00	$43.37
76514 Ultrasound scan of cornea to determine thickness	56	56	$20.00	$12.81
92285 Photography of content of eyes	30	30	$100.00	$22.96
66821 Removal of recurring cataract in lens capsule using a laser	26	26	$450.00	$367.95
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	15	14	$1200.00	$468.38
65855 Laser repair to improve eye fluid flow	15	13	$600.00	$271.12
67820 Removal of eyelashes using forceps	14	11	$85.71	$42.44
92025 Ct scan of cornea	14	13	$80.00	$39.98
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$60.00	$29.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	765	751	$225.00	$132.58
99213 Established patient office or other outpatient visit, typically 15 minutes	407	295	$147.60	$76.21
92012 Established patient problem focused exam of visual system	279	184	$161.74	$92.37
92133 Imaging of optic nerve	224	216	$100.00	$39.44
92250 Photography of the retina	203	201	$150.00	$59.86
92083 Exam of visual field with extended testing	194	182	$145.00	$67.72
92004 New patient complete exam of visual system	118	118	$275.00	$157.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	70	$250.00	$112.46
92134 Imaging of retina	60	54	$100.00	$43.80
76514 Ultrasound scan of cornea to determine thickness	56	56	$20.00	$15.52
65855 Laser repair to improve eye fluid flow	26	22	$623.08	$261.60
66821 Removal of recurring cataract in lens capsule using a laser	24	23	$468.75	$360.93
92285 Photography of content of eyes	22	21	$100.00	$21.38
92025 Ct scan of cornea	19	15	$80.00	$40.06
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$60.00	$28.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	791	747	$225.00	$124.49
99213 Established patient office or other outpatient visit, typically 15 minutes	343	254	$125.00	$72.68
92012 Established patient problem focused exam of visual system	233	177	$150.00	$85.63
92133 Imaging of optic nerve	184	176	$100.00	$37.52
92250 Photography of the retina	171	168	$150.00	$66.92
92083 Exam of visual field with extended testing	169	155	$145.00	$63.97
92004 New patient complete exam of visual system	121	121	$275.00	$149.49
92134 Imaging of retina	60	56	$100.00	$41.22
76514 Ultrasound scan of cornea to determine thickness	47	47	$20.00	$14.41
65855 Laser repair to improve eye fluid flow	32	26	$600.00	$245.00
66821 Removal of recurring cataract in lens capsule using a laser	23	23	$469.57	$330.94
92285 Photography of content of eyes	17	17	$100.00	$20.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$250.00	$107.85
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$60.00	$26.93

Medical Specialties & State Licenses

CMS Verified: 2022-12-27

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MA 81025

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

3140334 (MA)

Commercial Insurance / Payer ID Blue Shield

J31330 (MA)

Hospital & Practice Group Affiliations

Worcester Ophthalmology Associates Inc

25 Oak Ave, Worcester, MA 016052751

Phone: 5088319555

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Richard Eisenberg , MD

Ophthalmology

NPI 1093765455

Doctor of Medicine (M.D.)

Dr. Pamela Anderson , OD

Optometrist

NPI 1093832677

Doctor of Optometry

Dr. Teri Kleinberg , MD

Ophthalmology

NPI 1609187046

Doctor of Medicine (M.D.)

Dr. Stuart Weisman , MD

Ophthalmology

NPI 1922023787

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 25 OAK AVENUE, WORCESTER, MA 016052751 (Tel: 5084212010)

📍

Updated Business Mailing Address July 08, 2007

Registered at 25 OAK AVENUE, WORCESTER, MA 016052751 (Tel: 5084212010)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JEFFREY GALLO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #81025 in MA)

🟢

Initial NPI Registration & Enumeration July 12, 2006

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: 1720013923

Entity Type:

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

Enumeration Date: July 12, 2006

Last Update: December 27, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

25 Oak Avenue

Worcester, MA 016052751

Phone: 5084212010

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.