ROBERT C GALLAGHER MD
NPI 1801894829
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Hartford, CT
NPI Status: Active since July 13, 2005
Contact Information
114 WOODLAND ST
HARTFORD, CT
ZIP 06105
Phone: (860) 714-9333
Fax: (860) 714-8612
- Individual
- Male
- Years of Experience 46
- Thoracic Surgery (Cardiothoracic Vascula...
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ROBERT GALLAGHER
This page provides the complete NPI Profile along with additional information for Robert Gallagher, a provider established in Hartford, Connecticut with a medical specialization in Thoracic Surgery (cardiothoracic Vascular Surgery) and more than 46 years of experience. He graduated from Medical University Of South Carolina College Of Medicine in 1980. The healthcare provider is registered in the NPI registry with number 1801894829 assigned on July 2005. The practitioner's primary taxonomy code is 208G00000X with license number 026739 (CT). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1801894829
- Provider Name
- ROBERT C GALLAGHER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 114 WOODLAND ST HARTFORD, CT 06105
- Location Phone
- (860) 714-9333
- Location Fax
- (860) 714-8612
- Mailing Address
- PO BOX 33440 HARTFORD, CT 06150
- Mailing Phone
- (860) 522-7181
- Mailing Fax
- (860) 714-8612
- Medical School Name
- MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
- Graduation Year
- 1980
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-13-2005
- Last Update Date
- 06-15-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Taxonomy Code
- 208G00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 026739
- License State
- CT
- Taxonomy Description
- A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 001267394 | MEDICAID (05) | CT | |
| P1150301 | OTHER (01) | CT | OXFORD HEALTHPLAN |
| 4138731 | OTHER (01) | CT | AETNA HEALTHPLAN |
| OV7703 | OTHER (01) | CT | HEALTHNET OF NE |
| 1604743 | OTHER (01) | CT | CIGNA HEALTHPLAN |
| 330004788 | OTHER (01) | CT | RAILROAD MEDICARE |
| 026739 | OTHER (01) | CT | CONNECTICARE |
| 061028513 | OTHER (01) | CT | COMMUNITY HEALTH NTWK |
| 2806564 | OTHER (01) | CT | AETNA HMO |
| 010026739CT04 | OTHER (01) | CT | ANTHEM BLUECROSS/BS |
| 010026739CT04 | OTHER (01) | CT | BLUECARE FAMILY PLAN |
Medicare Participation & PECOS Enrollment Status
Robert Gallagher is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Robert Gallagher is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7113043498
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20100923000927
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE000N)
Walker, folding, wheeled, adjustable or fixed height (HCPCS:E0143)
1 DME suppliers used 19 Medicare Claims 19 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Coronary artery bypass graft (CABG)
Coronary artery bypass using artery graft, 1 graft
Coronary artery bypass using vein or artery graft, 2 grafts
Harvest of vein using an endoscope
Leg revascularization (restoring blood flow)
Pacemaker insertion or repair
Coronary artery bypass graft (CABG) is a surgery to improve blood flow to your heart. It involves taking a blood vessel from another part of your body and using it to reroute blood around a blocked or narrowed artery in your heart. This can help reduce chest pain and minimize the risk of heart attacks.
This service was performed for 67 patientsA coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
This service was performed 24 times for 24 patientsA coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
This service was performed 12 times for 12 patientsHarvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
This service was performed 29 times for 29 patientsLeg revascularization is a procedure aimed at restoring proper blood flow to your legs. It's often needed when blood vessels in your legs are blocked or narrowed. The process may involve surgery or less invasive methods to remove or bypass blockages, helping to alleviate pain and prevent serious complications.
This service was performed for 1-10 patientsPacemaker insertion or repair is a procedure to help regulate your heartbeat. A small device, called a pacemaker, is implanted under the skin near your heart. This device sends electrical signals to prompt your heart to beat at a normal rate. In a repair procedure, the pacemaker may be adjusted, replaced, or the wires connecting it to your heart may be fixed.
This service was performed for 1-10 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $45.77 for a new patient copayment and $18.88 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 06105 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $183.1
- Minimum New Patient Price $60.82
- Maximum New Patient Price $183.1
- Average New Patient Copayment $45.77
- Minimum New Patient Copayment $15.2
- Maximum New Patient Copayment $45.77
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.55
- Minimum Established Patient Price $19.76
- Maximum Established Patient Price $149.26
- Average Established Patient Copayment $18.88
- Minimum Established Patient Copayment $4.94
- Maximum Established Patient Copayment $37.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 0 | 1 | 8 | 9 | 4 | 8 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 16 | 9 | 8 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 1 + 6 + 9 + 8 + 8 + 4 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1801894829 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346243474 | MR. DANIEL DIVER MD Individual | Internal Medicine (Cardiovascular Disease) | 114 WOODLAND ST HARTFORD, CT 06105 (860) 714-4161 |
| 1194727412 | EYTAN RUBINSTIEN MD Individual | Internal Medicine (Infectious Disease) | 114 WOODLAND ST INFECTIOUS HARTFORD, CT 06105 (860) 714-4903 |
| 1215935317 | JOSE ARIAS-CAMISON MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 114 WOODLAND ST NICU HARTFORD, CT 06105 (860) 714-4404 |
| 1649278680 | HEMA DESILVA MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 114 WOODLAND ST NICU HARTFORD, CT 06105 (860) 714-4404 |
| 1841298700 | BIMALIN LAHIRI MD Individual | Internal Medicine (Pulmonary Disease) | 114 WOODLAND ST PULMONARY HARTFORD, CT 06105 (860) 714-4059 |
| 1538167424 | DANIEL GERARDI MD Individual | Internal Medicine (Pulmonary Disease) | 114 WOODLAND ST PULMONARY HARTFORD, CT 06105 (860) 714-4055 |
| 1669472445 | JOEL BERNSTEIN PA Individual | Physician Assistant | 114 WOODLAND ST NICU HARTFORD, CT 06105 (860) 714-4404 |
| 1033119680 | MELISSA PERREGAUX PA Individual | Physician Assistant | 114 WOODLAND ST NICU HARTFORD, CT 06105 (860) 714-6581 |
| 1972503555 | SUZANNE WEEKLY APRN Individual | Nurse Practitioner (Neonatal, Critical Care) | 114 WOODLAND ST NICU HARTFORD, CT 06105 (860) 714-4404 |
| 1770583981 | RAYMOND DUNNE PA Individual | Physician Assistant (Medical) | 114 WOODLAND ST NICU HARTFORD, CT 06105 (860) 714-4404 |
| 1114927324 | LAURIE SEEGER PA Individual | Physician Assistant | 114 WOODLAND ST NICU HARTFORD, CT 06105 (860) 714-4404 |
| 1598765737 | JAMES LUNN PA Individual | Physician Assistant (Surgical) | 114 WOODLAND ST DEPT OF SURGERY HARTFORD, CT 06105 (860) 714-4694 |
| 1528068764 | MARGARET GRAMMATICO PA Individual | Physician Assistant | 114 WOODLAND ST PEDIATRICS DEPARTMENT HARTFORD, CT 06105 (860) 714-4828 |
| 1821098989 | SUE KEEFE APRN Individual | Nurse Practitioner (Gerontology) | 114 WOODLAND ST DEPT OF GERIATRICS HARTFORD, CT 06105 (860) 714-4749 |
| 1356341572 | ROBERT STRANGE PA Individual | Physician Assistant | 114 WOODLAND ST NICU HARTFORD, CT 06105 (860) 714-4404 |
| 1699776542 | LISA RINALDI PA Individual | Physician Assistant (Surgical) | 114 WOODLAND ST DEPT OF SURGERY HARTFORD, CT 06105 (860) 714-4694 |
| 1174524029 | JOHN PIKE PA Individual | Physician Assistant (Surgical) | 114 WOODLAND ST DEPT OF SURGERY HARTFORD, CT 06105 (860) 714-4694 |
| 1306847249 | JEFFREY MOSS PA Individual | Physician Assistant (Surgical) | 114 WOODLAND ST DEPT OF SURGERY HARTFORD, CT 06105 (860) 714-4694 |
| 1669474250 | ALBERT KISSLING JR. PA Individual | Physician Assistant (Surgical) | 114 WOODLAND ST DEPT OF SURGERY HARTFORD, CT 06105 (860) 714-4694 |
| 1356343958 | CRYSTAL CLARKIN PA Individual | Physician Assistant (Surgical) | 114 WOODLAND ST DEPT OF SURGERY HARTFORD, CT 06105 (860) 714-4694 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801894829, enumerated in the NPI registry as an "individual" on July 13, 2005
The provider is located at 114 Woodland St Hartford, Ct 06105 and the phone number is (860) 714-9333
The provider's speciality is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X
The provider has more than 46 years of experience. He graduated from Medical University Of South Carolina College Of Medicine in 1980.
The provider might be accepting Accepts: Medicare, Medicaid, Oxford Health Plans, Aetna,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $183.1 with an average copayment of $45.77 for new patient appointments. Established patients should expect a typical charge of $75.55 and an average copayment of 18.88. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Coronary artery bypass graft (CABG), Coronary artery bypass using artery graft, 1 graft, Coronary artery bypass using vein or artery graft, 2 grafts, Harvest of vein using an endoscope, Leg revascularization (restoring blood flow) and Pacemaker insertion or repair.
This NPI record was last updated on July 13, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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