Individual provider Active NPI

Jeffrey P Gallo, MD

  • Ophthalmology Physician
  • Worcester, MA
National Provider Identifier
1720013923
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
81025 Issued in MA
Practice address
25 Oak Avenue
Worcester, MA 01605-2751
Phone
(508) 421-2010
Fax
(508) 756-8078
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 81025 MA Primary

Addresses

Primary practice location

25 Oak Avenue
Worcester, MA 01605-2751

Mailing address

25 Oak Avenue
Worcester, MA 01605-2751
Phone (508) 421-2010

Other identifiers 2

IdentifierTypeStateIssuer
3140334MedicaidMA
J31330OtherMABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060403000619 MA Practitioner - Ophthalmology 3375551385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Massachusetts Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Worcester Ophthalmology Associates IncGroup PAC ID 6901844471, 6 clinicians

Practice addresses (Care Compare)

25 Oak Ave
Worcester, MA 01605-2751
Phone (508) 831-9555

Merit-based Incentive Payment System (MIPS)

Final score
92.48 of 100Reported as group
Quality
97.5
Improvement activities
40
Cost
78.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Worcester Ophthalmology Associates, Inc Ophthalmology CurrentSince Jul 1, 1995 Accepting new patients

Locations

25 Oak Ave
Worcester, MA 01605
Phone (508) 421-2010

Interoperability endpoints

  • Direct secure messaging: jeffreygallo@woadocs.direct.eyemdemr.com

Organizations & group practices 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1720013923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OAK AVENUE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052751",
            "telephone_number": "508-421-2010",
            "fax_number": "508-756-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OAK AVENUE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052751",
            "telephone_number": "508-421-2010",
            "fax_number": "508-756-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "81025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3140334",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "J31330",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.