Active NPI 1720068927 Individual Practitioner Male Practitioner

Dr. James P Gallagher , MD

Internal Medicine • Sandusky, OH

Professional Overview & Biography Verified Profile Summary

Dr. James Gallagher, MD is a registered healthcare professional specializing in Internal Medicine in Sandusky, OH. Practice services are available at 149 E WATER ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, vaccine for influenza for administration into muscle, 0.5 ml dosage. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

149 E Water St

Sandusky, OH 448702525

Telephone 4196250925

Fax 4196251994

Associated Practice Facility / Clinic

🏢 Gallagher & Gallagher Facility NPI 1548592017

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Sandusky, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.5 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

18 Specialists

Practicing in Sandusky, OH (5516 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

14.4% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	374	219	$95.00	$89.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	168	$132.00	$126.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$232.00	$177.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,542	402	$95.00	$72.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	970	349	$132.00	$105.79
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	259	30	$107.00	$68.17
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	103	20	$97.00	$43.27
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	66	66	$40.00	$19.17
G0008 Administration of influenza virus vaccine	66	66	$10.00	$10.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	56	$232.00	$142.70
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	34	24	$137.00	$89.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,993	496	$95.00	$70.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,255	422	$132.00	$104.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	457	121	$122.00	$70.93
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	383	53	$107.00	$66.81
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	164	37	$97.00	$42.75
99238 Hospital discharge day management, 30 minutes or less	106	88	$163.00	$69.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	104	38	$147.00	$101.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	77	67	$188.00	$129.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	62	$232.00	$140.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	60	41	$137.00	$88.90
G0008 Administration of influenza virus vaccine	44	44	$5.00	$4.90
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	44	44	$30.00	$27.57
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	35	11	$30.00	$1.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	24	$237.00	$197.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,198	522	$95.00	$69.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,352	461	$132.00	$103.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	586	140	$122.00	$71.05
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	400	52	$106.94	$67.37
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	192	32	$96.97	$43.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	127	52	$147.00	$98.10
99238 Hospital discharge day management, 30 minutes or less	124	96	$163.00	$70.81
G0008 Administration of influenza virus vaccine	92	92	$5.00	$4.90
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	92	92	$30.00	$23.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	85	75	$188.00	$132.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	72	$232.00	$140.27
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	40	33	$137.00	$89.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	33	$237.00	$191.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$178.00	$159.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,375	557	$90.00	$67.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,556	512	$127.00	$99.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	702	174	$117.17	$67.30
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	431	55	$102.00	$64.54
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	232	32	$92.00	$41.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	189	65	$142.16	$98.20
99238 Hospital discharge day management, 30 minutes or less	154	128	$163.00	$67.59
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	141	141	$25.00	$23.57
G0008 Administration of influenza virus vaccine	141	141	$5.00	$4.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	97	91	$185.22	$123.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	90	87	$227.00	$133.30
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	55	32	$132.00	$85.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	37	$232.26	$190.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$178.00	$153.22

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 46192

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0503888 (OH)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Susan Gallagher , MD

Internal Medicine

NPI 1083694293

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 August 27, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 27, 2012

Registered at 149 E WATER ST, SANDUSKY, OH 448702525 (Tel: 4196250925)

📍

Updated Business Mailing Address August 27, 2012

Registered at 149 E WATER ST, SANDUSKY, OH 448702525 (Tel: 4196250925)

👤

Provider Name / Credentials Updated August 27, 2012

Recorded as JAMES GALLAGHER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2012

Internal Medicine (License #46192 in OH)

🟢

Initial NPI Registration & Enumeration January 23, 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: 1720068927

Entity Type:

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

Enumeration Date: January 23, 2006

Last Update: August 27, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

149 E Water St

Sandusky, OH 448702525

Phone: 4196250925

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.