Individual provider Active NPI

Paul M Gallogly, MD

  • Retina Specialist (Ophthalmology) Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1477500791
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME95642 Issued in FL
Practice address
3399 Pga Blvd.
Suite 350
Palm Beach Gardens, FL 33410
Phone
(561) 624-0099
Fax
(561) 624-7373
NPI assigned
May 30, 2006
Last updated
Nov 30, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME95642 FL
Retina Specialist (Ophthalmology) Physician 207WX0107X ME95642 FL Primary

Addresses

Primary practice location

3399 Pga Blvd.
Suite 350
Palm Beach Gardens, FL 33410

Mailing address

3399 Pga Blvd.
Suite 350
Palm Beach Gardens, FL 33410
Phone (561) 624-0099

Other identifiers 1

IdentifierTypeStateIssuer
275937300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061003000237 FL Practitioner - Ophthalmology 2264437870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Care Specialists PLLCGroup PAC ID 2264517952, 6 clinicians

Practice addresses (Care Compare)

3399 Pga Blvd
Suite 350
Palm Beach Gardens, FL 33410-2831
Phone (561) 624-0099

Merit-based Incentive Payment System (MIPS)

Final score
94.43 of 100Reported as group
Quality
88.86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME95642FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Care Specialists PLLC Ophthalmology CurrentSince Apr 9, 2008 Accepting new patients
Florida Vision Institute Inc Ophthalmology PastSince Feb 9, 2013 Accepting new patients
University of Miami Past Accepting new patients
Delrowe Eye Care, PA Ophthalmology Past Accepting new patients
Retina Care Specialists Ophthalmology PastSince Apr 9, 2008 Accepting new patients

Locations

3399 Pga Blvd
Ste 350
Palm Beach Gardens, FL 33410
Phone (561) 624-0099

1700 SE Hillmoor Dr
Ste 100
Port St Lucie, FL 34952
Phone (561) 747-3937

1715 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 335-3939

2090 SE Ocean Blvd
Stuart, FL 34996
Phone (561) 287-8777

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1477500791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 PGA BLVD.",
            "address_2": "SUITE 350",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-624-0099",
            "fax_number": "561-624-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 PGA BLVD.",
            "address_2": "SUITE 350",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-624-0099",
            "fax_number": "561-624-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOGLY",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME95642",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME95642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275937300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.