Active NPI
Thomas Gallagher, M.D.
- Dermatology Physician
- Lafayette, CO
National Provider Identifier
1922189141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 41443
- Practice address
- 1140 W South Boulder Rd
Suite 202
Lafayette, CO 80026-8910 - Phone
- (303) 604-1444
- Fax
- (303) 666-0911
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 41443 | CO | |
| Dermatopathology Physician | 207ND0900X | 41443 | CO | |
| Procedural Dermatology Physician | 207NS0135X | 41443 | CO | |
| Dermatology Physician | 207N00000X | 41443 | CO | Primary |
Addresses
Primary practice location
1140 W South Boulder Rd
Suite 202
Lafayette, CO 80026-8910
Mailing address
920 Mapleton Ave
Boulder, CO 80304-4147
Phone (303) 545-5665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of California, San Francisco School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1140 W S Boulder Rd
Suite 202
Lafayette, CO 80026-8910
Phone (303) 604-1444
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.43 of 100
- Quality
- 89.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.26
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 62 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 404 |
| Removal of skin cancer | 457 |
| Removal or shaving of skin growth | 24 |
| Skin biopsy | 73 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Valley Center for Dermatology LLC | Specialist | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| Boulder Valley Center for Dermatology LLC | Dermatology | Past | Accepting new patients |
Locations
3000 Center Green Dr
Ste 260
Boulder, CO 80301
Phone (303) 447-2737
1140 W South Boulder Rd
Ste 202
Lafayette, CO 80026
Phone (303) 604-1444
Interoperability endpoints
- https://api.platform.athenahealth.com/2831/brand/1/csg/1/fhir/r4
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.
-
- Dermatology Physician
- Lafayette, CO
- NPI 1306927231
Specialist
-
- Dermatology Physician
- Boulder, CO
- NPI 1063018000
-
- Clinic/Center
- New York, NY
- NPI 1548208127
Hospital & facility affiliations 34
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1922189141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 MAPLETON AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803044147",
"telephone_number": "303-545-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 W SOUTH BOULDER RD",
"address_2": "SUITE 202",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800268910",
"telephone_number": "303-604-1444",
"fax_number": "303-666-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2024-09-03",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CO",
"license": "41443",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "CO",
"license": "41443",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CO",
"license": "41443",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CO",
"license": "41443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.