Samuel A Gallo, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35-082078 Issued in OH

Practice address

6620 Perimeter Dr
Ste 100
Dublin, OH 43016-8055

Phone

(614) 766-5438

Fax

(614) 408-8269

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Ophthalmology

Education

University of Cincinnati College of Medicine, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Samuel a Gallo MDGroup PAC ID 7517964976, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
• Ohio Valley Surgical Hospital Hospital, Springfield, OH, CCN 360355
• Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
• Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

Merit-based Incentive Payment System (MIPS)

Final score

50 of 100Reported as group

Quality

0

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: sgallo@direct.ovsurgical.com

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

• Samuel a Gallo MD

  • Ophthalmology Physician
  • Dublin, OH
  • NPI 1922109594
  Medicare reassignment Care Compare group NPD Authorized official
• Perimeter Surgical Center Inc

  • Ambulatory Surgical Clinic/Center
  • Dublin, OH
  • NPI 1902095417
  NPD (past) Authorized official
• Ohio Valley Medical Center, LLC

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1538304050
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• William J Kessler

  • Eyewear Supplier
  • Dayton, OH
  • NPI 1912185380
  NPD (past)
• Wesley & Klippenstein, PC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Nashville, TN
  • NPI 1023025475
  NPD (past)

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

• Mount Carmel Health System

  • General Acute Care Hospital
  • Grove City, OH
  • NPI 1710067376
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1982784534
  Care Compare affiliation
• Ohio Valley Medical Center, LLC

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1538304050
  Care Compare affiliation
• Ohiohealth Corporation

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1467484972
  Care Compare affiliation
• Ohiohealth Corporation

  • Clinical Medical Laboratory
  • Columbus, OH
  • NPI 1710916945

  Hospital

  Care Compare affiliation
• Ohiohealth Corporation

  • General Acute Care Hospital
  • Dublin, OH
  • NPI 1801937008
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1609801489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 PERIMETER DR",
            "address_2": "STE 100A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168061",
            "telephone_number": "614-766-5438",
            "fax_number": "614-408-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 PERIMETER DR",
            "address_2": "STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168055",
            "telephone_number": "614-766-5438",
            "fax_number": "614-408-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "SAMUEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35-082078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2432657",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000501524",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE UP",
            "identifier": "P00339703",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kawambee Gaines
• Jessica Gainey
• Kacy Gainor, CRC
• David John Galik, M.ED.
• Mindy Galleher
• Cimone Galloway-Gibbs, RBT
• Brandy Karina Galvan
• Mary Lou Gambill, CDMS
• Stephanie Gambill
• Christina Nicole Gambrel, CNP

• Ophthalmology Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.