FRED J GALLUCCIO (M.D.) – Family Medicine Physician, NPI 1104934397

FRED J GALLUCCIO (M.D.) is a healthcare provider. based in Newport beach, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. G43026 (CA). The NPI Number for FRED J GALLUCCIO (M.D.) is 1104934397

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
FRED J GALLUCCIO (M.D.)
NPI
1104934397
Phone
(949) 646-4865
Address
901 DOVER DR
Enumeration Date
28 August 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
9496464865
Graduation Year
1979 (47 years ago)
PAC ID
6507759008
Group Practice PAC ID
0941482822
Professional Enrollment ID
I20110314000557
Address ID
CA926605514NE901XXDRXX304
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for FRED J GALLUCCIO (M.D.)

  • 901, Dover Drive, Cliff Haven, Newport Beach, Orange County, California, 92660, United States

    STE 102

    NEWPORT BEACH, CA 926605538

    Phone: (949) 646-4865

    Fax: (949) 646-7716

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $414.

Total Amount is formed as General ($414) + Research ($0) + Ownership ($0) = $414.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Amgen Inc. ($232).

Total Amount

$414

General + Research + Ownership

Payments

14

Total payment records

General Amount

$414

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110314000557IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes29894$0
99215Established patient office or other outpatient visit, 40-54 minutes28292$0
99213Established patient office or other outpatient visit, 20-29 minutes11962$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes10227$0
99212Established patient office or other outpatient visit, 10-19 minutes9936$0
View full utilization report →

Insurance plans in this area (ZIP 92660)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941482822View full group profile
NameSpecialtyState
Family PracticeCA

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to FRED J GALLUCCIO (M.D.)?
The federal identifier for FRED J GALLUCCIO (M.D.) is NPI 1104934397.
Is FRED J GALLUCCIO (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize FRED J GALLUCCIO (M.D.)'s specialty in plain language?
Clinically, the directory lists FRED J GALLUCCIO (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for FRED J GALLUCCIO (M.D.)?
The page summarizes Newport Beach, California for FRED J GALLUCCIO (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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