FABIOLA COROMOTO CARDOZO GALLAGHER (MD) – Family Medicine Physician, NPI 1578123956
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,754 FAMILY PRACTICE in FL
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Provider Addresses for FABIOLA COROMOTO CARDOZO GALLAGHER (MD)
1301, Hodges Drive, Tallahassee, Leon County, Florida, 32308, United States
TALLAHASSEE, FL 323084614
Phone:
Type: Mailing
730 JASMINE ST
ATLANTIC BEACH, FL 322331712
Phone:
Type: Mailing
200 HOSPITAL AVE
JEFFERSON, NC 286409244
Phone: (336) 846-0805
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $57.
Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novo Nordisk Inc ($21).
Total Amount
$57
General + Research + Ownership
Payments
3
Total payment records
General Amount
$57
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $21 |
| Phathom Pharmaceuticals, Inc. | $20 |
| ABBVIE INC. | $16 |
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: 2024-09-24
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230117002692 | I | Family Practice | TN | TBD |
| I20240924000614 | I | Family Practice | NC | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32308)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | NC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NC | |
| Physician Assistant | NY | |
| Nurse Practitioner | FL | |
| Family Practice | NC | |
| Orthopedic Surgery | MT |
Reviews
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