EDGAR E GALICIA (MD) – Internal Medicine Physician, NPI 1801834494

EDGAR E GALICIA (MD) is a healthcare provider. based in Rushville, Illinois. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 2010024108 (MO). The NPI Number for EDGAR E GALICIA (MD) is 1801834494

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
EDGAR E GALICIA (MD)
NPI
1801834494
Phone
(217) 322-4321
Address
238 S Congress St
Enumeration Date
3 June 2006
Last Update Date
11 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5734684186
Graduation Year
1995 (31 years ago)
PAC ID
0345331997
Group Practice PAC ID
5395643209
Professional Enrollment ID
I20100915000567
Address ID
MO630802354SU751XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:20State licenses:3Digital endpointsOther names

2,390 HOSPITALIST in IL

Provider Addresses for EDGAR E GALICIA (MD)

  • 238 S Congress St

    Rushville, IL 626811465

    Phone: (217) 322-4321

    Fax: (217) 322-2546

    Type: Location

  • St. Anthony's Medical Center, 10010, Kennerly Road, Sappington, Saint Louis County, Missouri, 63128, United States

    SAINT LOUIS, MO 631282106

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($43).

Total Amount

$78

General + Research + Ownership

Payments

5

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-01-15

PECOS data refreshed: 2026-05-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100915000567IHospitalistMOTBD
I20150115001714IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making8075$0
99284Emergency department visit with moderate level of medical decision making5350$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5049$0
99291Critical care, first 30-74 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 62681)

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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: 5395643209View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeIN
Emergency MedicineMA
-PA
-TN
Emergency Medicine, Pediatric MedicineIL
Emergency Medicine, Pediatric MedicineTN
-MO
Emergency Medicine, Family PracticeFL
Emergency MedicineMO
-CT

Reviews

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Frequently asked questions

Is there an official ID for EDGAR E GALICIA (MD) in U.S. healthcare records?
The official identifier for EDGAR E GALICIA (MD) is NPI 1801834494.
Is there an active status for EDGAR E GALICIA (MD)?
For scheduling context, EDGAR E GALICIA (MD) is shown as active in the registry.
What clinical focus is listed for EDGAR E GALICIA (MD)?
At a glance, EDGAR E GALICIA (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with EDGAR E GALICIA (MD)?
Directory geography for EDGAR E GALICIA (MD) centers on Rushville, Illinois.
Does EDGAR E GALICIA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.