NPIMap

Individual provider Active NPI

Gary L. Gallo, M.D.

  • Family Medicine Physician
  • Waynesboro, PA
National Provider Identifier
1558367391
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD066174L Issued in PA
Practice address
1051 E Main St
Ste 1
Waynesboro, PA 17268-2318
Phone
(717) 762-9118
Fax
(717) 762-2860
NPI assigned
Jun 27, 2005
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD066174L PA Primary

Addresses

Primary practice location

1051 E Main St
Ste 1
Waynesboro, PA 17268-2318

Mailing address

1051 E Main St
Ste 1
Waynesboro, PA 17268-2318
Phone (717) 762-9118

Other identifiers 1

IdentifierTypeStateIssuer
0016905510003MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address g.gallo@waynesborofma.medentdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607001075 PA Practitioner - Family Practice 0143116335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
East Tennessee State University Quillen College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waynesboro Family Medical Associates, LLPGroup PAC ID 8325934508, 5 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

1051 E Main St
Suite 1
Waynesboro, PA 17268-2318
Phone (717) 762-9118

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waynesboro Family Medical Associates, LLP Family Medicine CurrentSince Mar 4, 1998 Accepting new patients
Waynesboro Family Medical Associates, LLP Past Accepting new patients
Waynesboro Family Medical Associates, LLP Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Unity Pathology Associates Past Accepting new patients

Locations

1051 E Main St
Ste 1
Waynesboro, PA 17268
Phone (717) 762-9118

Interoperability endpoints

  • Direct secure messaging: g.gallo@waynesborofma.medentdirect.com

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1558367391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 E MAIN ST",
            "address_2": "STE 1",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682318",
            "telephone_number": "717-762-9118",
            "fax_number": "717-762-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 E MAIN ST",
            "address_2": "STE 1",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682318",
            "telephone_number": "717-762-9118",
            "fax_number": "717-762-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "GARY",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD066174L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016905510003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "g.gallo@waynesborofma.medentdirect.com",
            "affiliation": "N",
            "address_1": "1051 E Main St",
            "address_2": "Ste 1",
            "city": "Waynesboro",
            "state": "PA",
            "country_code": "US",
            "postal_code": "172682318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waynesboro, PA

Sources for this page

Verify at the official NPI Registry.