Active NPI 1699782102 Individual Practitioner Male Practitioner

Patrick M. Dalessio , PA-C

Physician Assistant - Medical • Gallup, NM

Professional Overview & Biography Verified Profile Summary

Patrick Dalessio, PA-C is a registered healthcare professional specializing in Physician Assistant - Medical in Gallup, NM. Practice services are available at 516 EAST NIZHONI BLVD. under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with low level of medical decision making, emergency department visit with straightforward medical decision making, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

516 East Nizhoni Blvd.

Gallup, NM 873011337

Telephone 5057221000

Fax 5057268671

Associated Practice Facility / Clinic

🏢 Dhhs,phs,naihs, Gallup Indian Medical Center Facility NPI 1225002322

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Gallup, NM

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.0 Yrs

State Avg: 16.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Gallup, NM (280 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.7% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	88	86	$527.33	$58.80
99282 Emergency department visit with straightforward medical decision making	39	38	$360.10	$34.55
99284 Emergency department visit with moderate level of medical decision making	15	15	$997.00	$99.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	58	56	$522.76	$60.49
99282 Emergency department visit with straightforward medical decision making	25	25	$347.00	$35.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	113	112	$479.00	$61.73
99282 Emergency department visit with straightforward medical decision making	57	54	$319.00	$36.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	67	63	$479.00	$61.76
99282 Emergency department visit with straightforward medical decision making	41	41	$319.00	$36.62
99284 Emergency department visit with moderate level of medical decision making	16	16	$814.00	$104.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	90	86	$479.00	$56.50
99282 Emergency department visit with straightforward medical decision making	78	76	$319.00	$37.69
99284 Emergency department visit with moderate level of medical decision making	17	16	$814.00	$103.95
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	15	15	$76.00	$7.27
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$157.00	$43.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	117	112	$479.00	$53.11
99282 Emergency department visit with straightforward medical decision making	74	73	$319.00	$35.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$97.70	$67.20
99284 Emergency department visit with moderate level of medical decision making	30	30	$814.00	$100.83
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	20	19	$76.00	$7.18

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	201	198	$97.64	$66.32
99283 Emergency department visit with low level of medical decision making	82	79	$479.00	$52.99
99282 Emergency department visit with straightforward medical decision making	44	44	$312.71	$35.42
99284 Emergency department visit with moderate level of medical decision making	32	32	$765.00	$100.60
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$61.00	$43.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$101.45	$66.23
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	16	16	$66.31	$7.17

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	167	164	$119.57	$70.28
99283 Emergency department visit with low level of medical decision making	130	126	$424.15	$52.64
99284 Emergency department visit with moderate level of medical decision making	50	50	$640.32	$99.87
99282 Emergency department visit with straightforward medical decision making	40	40	$268.95	$35.15
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	26	25	$45.00	$7.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$94.00	$65.82

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License WA PA10004407

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WA PA10004407

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 - Surgical

NUCC Taxonomy Code: 363AS0400X

State License WA PA10004407

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8354375 (WA)

Commercial Insurance / Payer ID Regence Blue Shield Pin

06173U (WA)

Commercial Insurance / Payer ID L&i Pin

0197285 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Johanna Palmgren

Registered Nurse - Administrator

NPI 1003001314

Sandra Skeets , RN

Registered Nurse - Ambulatory Care

NPI 1003009945

Registered Nurse

Jennifer Moore , RN, BSN

Registered Nurse - Medical-Surgical

NPI 1003016460

Registered Nurse, Bachelor of Science in Nursing

Sally Kaufman , RN

Registered Nurse

NPI 1003110537

Registered Nurse

Nancy Davis , RN

Registered Nurse

NPI 1003184201

Registered Nurse

Lorraine Cabrillas , RN

Registered Nurse - Emergency

NPI 1003372004

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 18, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2012

Registered at 516 EAST NIZHONI BLVD., GALLUP, NM 873011337 (Tel: 5057221000)

📍

Updated Business Mailing Address July 18, 2012

Registered at P.O. BOX 1337, GALLUP, NM 873051337 (Tel: 5057221000)

👤

Provider Name / Credentials Updated July 18, 2012

Recorded as PATRICK DALESSIO, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2012

Physician Assistant (License #PA10004407 in WA)

🟢

Initial NPI Registration & Enumeration August 01, 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: 1699782102

Entity Type:

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

Enumeration Date: August 01, 2006

Last Update: July 18, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

P.o. Box 1337

Gallup, NM 873051337

Phone: 5057221000

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.