Active NPI
Nicholas Gallagher
- Emergency Medicine Physician
- Augusta, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO3075
- Practice address
- 35 Medical Center Pkwy
Augusta, ME 04330-8160 - Phone
- (207) 248-5000
- Fax
- (207) 626-1648
- NPI assigned
- Apr 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO3075 | ME | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | DO00947 | RI | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | DO3075 | ME | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 83039 | CT |
Addresses
Primary practice location
35 Medical Center Pkwy
Augusta, ME 04330-8160
Mailing address
35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone (207) 248-5000
Other practice location 1
600 Roe Ave
Elmira, NY 14905-1629
Phone (607) 734-4100
Other practice location 2
289 Windham Rd
Willimantic, CT 06226-3528
Phone (203) 630-5256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200903002712 | ME | Practitioner - Addiction Medicine | 5698029452 | Reassigns benefits to 1 organization |
| I20251030000287 | CT | Practitioner - Addiction Medicine | 5698029452 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- University of New England, College of Osteo Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 621-1000
Hospital & facility affiliations
- Maine General Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.22 of 100
- Quality
- 75.39
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 75.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83039 | CT | MD | Addiction Medicine (Internal Medicine) Physician |
| DO3075 | ME | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rushford Center, Inc. | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients |
Locations
883 Paddock Ave
Meriden, CT 06450
Phone (203) 630-5220
35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Interoperability endpoints
- nicholasgallagher@mgh.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1629465208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-248-5000",
"fax_number": "207-626-1648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-248-5000",
"fax_number": "207-626-1648"
}
],
"practiceLocations": [
{
"address_1": "600 Roe Ave",
"address_purpose": "LOCATION",
"city": "Elmira",
"state": "NY",
"postal_code": "149051629",
"country_code": "US",
"telephone_number": "607-734-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "289 Windham Rd",
"address_purpose": "LOCATION",
"city": "Willimantic",
"state": "CT",
"postal_code": "062263528",
"country_code": "US",
"telephone_number": "203-630-5256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLAGHER",
"first_name": "NICHOLAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-21",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "DO3075",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "RI",
"license": "DO00947",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "ME",
"license": "DO3075",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "CT",
"license": "83039",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.