DR. ANDREW M GAILLARDETZ (MD) – Family Medicine Physician, NPI 1548764236
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,906 FAMILY PRACTICE in MA
Provider Addresses for DR. ANDREW M GAILLARDETZ (MD)
116 FURBUSH RD
WEST ROXBURY, MA 021322232
Phone: (419) 704-7398
Type: Mailing
3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 622691284
Phone: (618) 233-5480
Fax: (618) 222-4792
Type: Location
116 Furbush Rd
West Roxbury, MA 021322232
Phone: (419) 704-7398
Type: Location
1414 CROSS ST STE 210
SHILOH, IL 622692941
Phone: (186) 767-7000
Fax: (618) 624-4865
Type: Mailing
PO BOX 959203
SAINT LOUIS, MO 631959203
Phone: (618) 607-1260
Fax: (618) 607-3995
Type: Mailing
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 622691284
Phone: (618) 256-9355
Fax: (618) 206-2332
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-07-19
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210719002568 | I | Family Practice | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 40 | 16 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 22 | 22 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 22 | 22 | $0 |
Insurance plans in this area (ZIP 02132)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH | |
| Nurse Practitioner | IL |
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