Individual provider Active NPI

Peter L Gallagher, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Lincoln, NE
National Provider Identifier
1730123589
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
24575 Issued in NE
Practice address
1600 S 48TH St Ste 500
Lincoln, NE 68506-1274
Phone
(402) 483-3333
NPI assigned
Jun 15, 2006
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24575 NE
Cardiovascular Disease Physician 207RC0000X 24575 NE
Clinical Cardiac Electrophysiology Physician 207RC0001X 24575 NE Primary

Addresses

Primary practice location

1600 S 48TH St Ste 500
Lincoln, NE 68506-1274

Mailing address

PO Box 6607
Lincoln, NE 68506-0607
Phone (402) 483-3333

Other identifiers 16

IdentifierTypeStateIssuer
47070592301MedicaidNE
060063759OtherKYRAILROAD MEDICARE
10026072200MedicaidNE
6403181800MedicaidKY
0401411MedicaidIA
10026072400MedicaidNE
47070592300MedicaidNE
10026072500MedicaidNE
10026072600MedicaidNE
47070592305MedicaidNE
47070592313MedicaidNE
10026072000MedicaidNE
47070592302MedicaidNE
47070592306MedicaidNE
10026072300MedicaidNE
200567010AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080508000685 NE Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 9537248018 Reassigns benefits to 2 organizations
I20161013002422 KS Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 9537248018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Nebraska College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Cardiology Group LLCGroup PAC ID 7911803796, 78 clinicians

Practice addresses (Care Compare)

1600 S 48TH St
Lincoln, NE 68506-1299

1600 S 48TH St
500 Bryan Heart
Lincoln, NE 68506-1274
Phone (402) 483-3333

708 N 18TH St
Community Memorial Healthcare
Marysville, KS 66508-1338
Phone (785) 562-2311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.61 of 100Reported as group
Quality
87.74
Promoting interoperability
100
Improvement activities
40
Cost
67.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24575NEMDInternal Medicine Physician
TP393KYMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Cardiology Group LLC Cardiovascular Disease CurrentSince Mar 20, 2023 Accepting new patients
The Physician Network Internal Medicine PastSince Sep 1, 2011 Accepting new patients

Locations

708 N 18th St
Marysville, KS 66508
Phone (785) 562-2311

614 S Main St
Smith Center, KS 66967
Phone (785) 282-6845

1600 S 48th St
Ste 500
Lincoln, NE 68506

1600 S 48th St
Ste 600
Lincoln, NE 68506
Phone (402) 416-9327

5401 South St
Lincoln, NE 68506
Phone (402) 413-3000

Interoperability endpoints

  • Direct secure messaging: pgallagher52575@hisp.bryanhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1730123589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6607",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060607",
            "telephone_number": "402-483-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S 48TH ST STE 500",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061274",
            "telephone_number": "402-483-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "PETER",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
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            "license": "24575",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "24575",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NE",
            "license": "24575",
            "primary": true
        }
    ],
    "identifiers": [
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            "identifier": "47070592301",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060063759",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026072200",
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        },
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            "identifier": "6403181800",
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            "issuer": null,
            "identifier": "0401411",
            "state": "IA"
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            "identifier": "10026072400",
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            "identifier": "10026072500",
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        {
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            "identifier": "47070592305",
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "47070592313",
            "state": "NE"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "10026072000",
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "47070592302",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592306",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026072300",
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "200567010A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.