Active NPI 1609801489 Individual Practitioner Male Practitioner

Dr. Samuel A Gallo , MD

Ophthalmology • Dublin, OH

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Gallo, MD is a certified Ophthalmology practicing in Dublin, OH. With approximately 32 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1994, Dr. Gallo delivers high-quality medical care to the local community at 6620 PERIMETER DR.

Dr. Gallo is affiliated with Samuel A Gallo Md and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system, new patient outpatient office visit, exam of visual field with intermediate testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6620 Perimeter Dr
Ste 100

Dublin, OH 430168055

Telephone 6147665438

Fax 6144088269

Associated Practice Facility / Clinic

🏢 Samuel A Gallo Md Facility NPI 1922109594

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1994

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Dublin, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +14.8 yrs vs City Avg

City Avg: 17.2 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

8 Specialists

Practicing in Dublin, OH (803 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gallo (32 Years) 32 Yrs

Dublin Specialty Average (17.2 Years) 17.2 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
92012 Established patient problem focused exam of visual system	186	140	$235.00	$73.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	154	154	$485.00	$140.39
92082 Exam of visual field with intermediate testing	79	79	$200.00	$38.24
67917 Extensive repair of turning-outward eyelid defect	54	32	$1500.00	$217.68
67904 Repair of tendon of upper eyelid	54	53	$2861.11	$705.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	42	$235.00	$93.37
11900 Injection into skin growth, 1-7 growths	21	16	$80.00	$46.10
67840 Removal of eyelid growth	20	17	$365.00	$214.73
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	20	15	$4.00	$0.94
64612 Injection of chemical for paralysis of nerve muscles on side of face	20	13	$450.00	$142.60
15730 Creation of flap graft to midface	18	16	$3800.00	$695.14
67924 Extensive repair of turning-inward eyelid defect	16	12	$1500.00	$315.36
68840 Probing of nasal-tear duct	16	15	$391.88	$156.25
67900 Repair of brow paralysis	14	14	$2892.86	$517.99
15823 Removal of excessive skin and fat of upper eyelid	13	13	$3605.77	$646.52
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	13	12	$2000.00	$371.96
92285 Photography of content of eyes	11	11	$81.00	$17.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,762	11	$10.00	$5.92
92012 Established patient problem focused exam of visual system	194	143	$235.00	$80.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	177	177	$485.00	$151.22
92082 Exam of visual field with intermediate testing	89	89	$200.00	$40.94
67904 Repair of tendon of upper eyelid	63	63	$2777.43	$733.96
67917 Extensive repair of turning-outward eyelid defect	46	31	$1858.70	$271.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$237.94	$101.76
11900 Injection into skin growth, 1-7 growths	31	19	$80.00	$51.14
64612 Injection of chemical for paralysis of nerve muscles on side of face	25	15	$480.00	$163.20
67900 Repair of brow paralysis	24	24	$2825.17	$487.02
68840 Probing of nasal-tear duct	22	21	$323.00	$153.62
15823 Removal of excessive skin and fat of upper eyelid	14	14	$3482.14	$661.87
67840 Removal of eyelid growth	14	12	$373.14	$231.73
15730 Creation of flap graft to midface	14	13	$3800.00	$830.66
67840 Removal of eyelid growth	14	13	$373.14	$105.55
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	12	11	$2027.17	$461.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	4,100	15	$10.00	$5.83
92012 Established patient problem focused exam of visual system	235	148	$235.00	$80.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$485.00	$154.49
92082 Exam of visual field with intermediate testing	92	91	$200.00	$41.72
67904 Repair of tendon of upper eyelid	75	69	$2640.00	$740.94
92285 Photography of content of eyes	50	50	$81.00	$17.90
67917 Extensive repair of turning-outward eyelid defect	43	42	$2448.84	$285.28
11900 Injection into skin growth, 1-7 growths	43	25	$80.00	$50.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$235.00	$103.63
64612 Injection of chemical for paralysis of nerve muscles on side of face	39	15	$423.08	$149.64
68840 Probing of nasal-tear duct	37	35	$424.38	$165.10
68320 Repair of eyelid lining with graft from external eye	21	19	$1317.86	$381.90
15730 Creation of flap graft to midface	21	20	$3800.00	$847.60
67900 Repair of brow paralysis	19	19	$2921.05	$507.36
68700 Plastic repair of tear duct	17	16	$1752.06	$631.30
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	14	14	$2000.00	$402.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	5,000	22	$10.00	$5.77
92012 Established patient problem focused exam of visual system	204	145	$236.23	$81.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	135	135	$235.00	$104.18
92082 Exam of visual field with intermediate testing	126	124	$200.00	$43.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$485.00	$156.27
67904 Repair of tendon of upper eyelid	91	89	$2901.10	$790.12
67917 Extensive repair of turning-outward eyelid defect	63	56	$2380.95	$268.65
92285 Photography of content of eyes	61	61	$81.00	$17.61
64612 Injection of chemical for paralysis of nerve muscles on side of face	50	22	$474.00	$161.08
11900 Injection into skin growth, 1-7 growths	49	29	$80.00	$49.63
67900 Repair of brow paralysis	37	37	$2918.92	$447.61
68840 Probing of nasal-tear duct	36	33	$383.17	$166.36
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	23	17	$2000.00	$352.89
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	23	20	$2075.00	$480.47
15730 Creation of flap graft to midface	22	22	$3800.00	$855.50
67840 Removal of eyelid growth	22	18	$414.77	$78.60
67880 Creation of permanent eyelid margin scarring	19	18	$1347.37	$239.12
67840 Removal of eyelid growth	19	17	$384.21	$249.47
68700 Plastic repair of tear duct	16	16	$1607.81	$656.28
68320 Repair of eyelid lining with graft from external eye	16	16	$1601.56	$498.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	4,900	21	$10.00	$5.77
92012 Established patient problem focused exam of visual system	191	138	$235.00	$77.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	190	190	$235.00	$95.73
92082 Exam of visual field with intermediate testing	104	104	$200.00	$41.60
67904 Repair of tendon of upper eyelid	79	76	$2810.13	$747.27
92285 Photography of content of eyes	55	55	$81.00	$16.74
64612 Injection of chemical for paralysis of nerve muscles on side of face	50	21	$504.00	$162.43
67917 Extensive repair of turning-outward eyelid defect	49	46	$2332.65	$306.42
67900 Repair of brow paralysis	32	32	$2906.25	$416.35
15730 Creation of flap graft to midface	27	26	$3800.00	$819.51
11900 Injection into skin growth, 1-7 growths	23	18	$80.00	$44.42
68840 Probing of nasal-tear duct	23	22	$336.22	$143.02
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	22	19	$2075.00	$401.20
67840 Removal of eyelid growth	19	15	$365.00	$211.03
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	19	18	$2368.42	$416.23
67840 Removal of eyelid growth	16	11	$417.19	$72.36
68700 Plastic repair of tear duct	11	11	$1346.36	$511.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	5,400	21	$10.00	$5.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	212	212	$235.00	$95.08
92012 Established patient problem focused exam of visual system	168	133	$235.00	$76.84
92082 Exam of visual field with intermediate testing	113	112	$200.00	$41.56
67904 Repair of tendon of upper eyelid	98	96	$2739.80	$723.62
64612 Injection of chemical for paralysis of nerve muscles on side of face	55	21	$507.27	$162.46
67917 Extensive repair of turning-outward eyelid defect	53	50	$2518.87	$324.04
92285 Photography of content of eyes	37	37	$81.00	$16.36
67900 Repair of brow paralysis	31	31	$2854.84	$496.43
15730 Creation of flap graft to midface	27	26	$3814.81	$778.88
67840 Removal of eyelid growth	25	24	$466.00	$74.41
68840 Probing of nasal-tear duct	24	24	$348.33	$151.23
11900 Injection into skin growth, 1-7 growths	22	15	$80.00	$46.64
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	20	17	$2085.00	$398.92
68320 Repair of eyelid lining with graft from external eye	17	15	$1205.88	$335.95
67840 Removal of eyelid growth	16	13	$365.00	$204.78
67880 Creation of permanent eyelid margin scarring	16	15	$1350.00	$265.36
68720 Creation of drainage tract from tear sac to the nasal cavity	15	13	$2300.00	$652.69
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	12	$2075.00	$426.12
68815 Probing of nasal-tear duct with insertion of tube or stent	14	12	$680.00	$98.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	4,218	21	$10.00	$6.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	284	284	$235.35	$94.87
92012 Established patient problem focused exam of visual system	211	158	$235.00	$77.01
92082 Exam of visual field with intermediate testing	161	157	$200.00	$41.33
67904 Repair of tendon of upper eyelid	127	122	$2775.59	$667.90
92285 Photography of content of eyes	84	83	$81.00	$15.73
67917 Extensive repair of turning-outward eyelid defect	72	65	$2416.67	$307.19
64612 Injection of chemical for paralysis of nerve muscles on side of face	43	21	$516.28	$164.73
67900 Repair of brow paralysis	34	34	$2823.53	$504.86
68840 Probing of nasal-tear duct	32	30	$300.44	$150.95
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	29	22	$2075.00	$494.14
15730 Creation of flap graft to midface	25	24	$4104.00	$751.08
67840 Removal of eyelid growth	20	19	$438.00	$77.79
67924 Extensive repair of turning-inward eyelid defect	17	17	$1941.18	$385.73
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	17	15	$2705.88	$467.65
67840 Removal of eyelid growth	15	15	$438.00	$214.10
68700 Plastic repair of tear duct	13	13	$1146.92	$477.65
68320 Repair of eyelid lining with graft from external eye	11	11	$1118.18	$360.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,200	12	$10.00	$5.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	247	247	$235.00	$94.77
92012 Established patient problem focused exam of visual system	179	145	$235.00	$74.16
92082 Exam of visual field with intermediate testing	152	150	$200.00	$19.94
67904 Repair of tendon of upper eyelid	128	122	$2824.22	$495.67
67917 Extensive repair of turning-outward eyelid defect	91	84	$2604.40	$242.54
92285 Photography of content of eyes	66	66	$81.00	$3.27
68840 Probing of nasal-tear duct	34	34	$356.53	$149.33
67900 Repair of brow paralysis	33	32	$2772.73	$595.84
64612 Injection of chemical for paralysis of nerve muscles on side of face	32	12	$496.88	$153.40
15732 Muscle flap wound repair at head and neck	27	23	$3800.00	$982.04
67880 Creation of permanent eyelid margin scarring	26	22	$1138.46	$242.62
68320 Repair of eyelid lining with graft from external eye	19	16	$1294.74	$398.36
67924 Extensive repair of turning-inward eyelid defect	17	17	$2294.12	$355.79
67840 Removal of eyelid growth	15	12	$438.00	$197.05
68530 Removal of foreign body or stone from tear passages	15	15	$906.67	$393.33
68815 Probing of nasal-tear duct with insertion of tube or stent	14	11	$728.57	$100.73
67840 Removal of eyelid growth	14	13	$391.07	$69.66
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	13	11	$2923.08	$401.44

Medical Specialties & State Licenses

CMS Verified: 2021-09-24

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 35-082078

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

2432657 (OH)

Commercial Insurance / Payer ID Anthem

000000501524 (OH)

Commercial Insurance / Payer ID Rr Medicare Up

P00339703 (OH)

Hospital & Practice Group Affiliations

Samuel A Gallo Md

6620 Perimeter Dr, Dublin, OH 430168061

Phone: 6147665438

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address September 24, 2021

Registered at 6620 PERIMETER DR, STE 100A, DUBLIN, OH 430168061 (Tel: 6147665438)

✅

NPI Profile Active December 31, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 31, 2015

Registered at 6620 PERIMETER DR, STE 100, DUBLIN, OH 430168055 (Tel: 6147665438)

📍

Updated Business Mailing Address December 31, 2015

Registered at PO BOX 1481, AKRON, OH 443091481 (Tel: 6147665438)

👤

Provider Name / Credentials Updated December 31, 2015

Recorded as SAMUEL GALLO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2015

Ophthalmology (License #35-082078 in OH)

🟢

Initial NPI Registration & Enumeration July 11, 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: 1609801489

Entity Type:

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

Enumeration Date: July 11, 2006

Last Update: September 24, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6620 Perimeter Dr, Ste 100a

Dublin, OH 430168061

Phone: 6147665438

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.