Blake Galler, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

115179 Issued in AK

Practice address

3066 E Meridian Park Loop
Wasilla, AK 99654-7254

Phone

(907) 357-9590

Fax

(907) 357-9593

NPI assigned

Feb 10, 2012

Last updated

Sep 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK, CA, TX, OK, LA, IN, OH, AL, IL9 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 9

Specialty

Dermatology

Education

Texas Tech University Health Science Center School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology of Alaska LLCGroup PAC ID 5991271041, 6 clinicians

Medical Network of Alaska LLCGroup PAC ID 3072618859, 70 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.4 of 100Reported as individual

Quality

55.28

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blake.galler.1@27294.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Dermatology of Alaska LLC

  • Dermatology Physician
  • Wasilla, AK
  • NPI 1760356208
  Medicare reassignment Care Compare group NPD Authorized official
• Medical Network of Alaska, LLC

  dba Capstone Urgent Care

  • Urgent Care Clinic/Center
  • Wasilla, AK
  • NPI 1538414834
  Medicare reassignment Care Compare group NPD
• Compass Dermatopathology, Inc.

  dba SkyMD

  • Dermatopathology Physician
  • San Diego, CA
  • NPI 1922312248

  OH

  Medicare reassignment
• Medical Network of Alaska, LLC

  dba Alpenglow Women's Health

  • Obstetrics & Gynecology Physician
  • Wasilla, AK
  • NPI 1013558360
  NPD
• Medical Network of Alaska, LLC

  dba MNA Laboratory

  • Clinical Medical Laboratory
  • Wasilla, AK
  • NPI 1467167585
  NPD
• Medical Network of Alaska, LLC

  dba Resound ENT

  • Otolaryngology Physician
  • Anchorage, AK
  • NPI 1922862986
  NPD
• Mat-Su Valley III LLC

  dba Mat Su Urgent Care - Palmer

  • Urgent Care Clinic/Center
  • Palmer, AK
  • NPI 1518472984
  NPD (past)
• Medical Network of Alaska, LLC

  dba Capstone Dermatology

  • Dermatology Physician
  • Wasilla, AK
  • NPI 1033883285
  NPD (past)
• Medical Network of Alaska, LLC

  • Clinic/Center
  • Wasilla, AK
  • NPI 1497478598
  NPD (past)
• Telehealth Solution PLLC

  • Hospitalist Physician
  • Charlotte, NC
  • NPI 1790221299
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1265705933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CUSTER RD STE 270",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754427",
            "fax_number": "616-326-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 E MERIDIAN PARK LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547254",
            "telephone_number": "907-357-9590",
            "fax_number": "907-357-9593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E Dimond Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995152001",
            "country_code": "US",
            "telephone_number": "907-267-5890",
            "fax_number": "844-670-3889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLER",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-10",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AK",
            "license": "115179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Levi Thomas Gall
• Luke Thomas Gall
• Monica Gallagher, LMT
• Janel Lee Gallatin
• Stephanie Gallego, RN
• Lane D Gambill, CTRS
• Darcie Gampetro
• Chad-Michael Shane Ganey
• Pedro Kenneth Garcia Quintana, RBT
• Peter E Garcia Jr.

• Dermatology Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Dermatology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.