BRADLEY C GALLAGHER (PA-C) – Physician Assistant, NPI 1205871266
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRADLEY C GALLAGHER (PA-C)
4801 VETERANS DR
SAINT CLOUD, MN 563032015
Phone: (320) 252-1670
Type: Mailing
Coteau des Prairies Health Care System Hospital, 205, Orchard Drive, Sisseton, Roberts County, South Dakota, 57262, United States
SISSETON, SD 572622312
Phone: (605) 698-7681
Fax: (605) 698-3493
Type: Mailing
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 $41.
Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.
Last reported payment date: 2023-05-19 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($14).
Total Amount
$41
General + Research + Ownership
Payments
3
Total payment records
General Amount
$41
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $14 |
| Exact Sciences Corporation | $14 |
| Novartis Pharmaceuticals Corporation | $13 |
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: 2006-04-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060403000428 | I | Physician Assistant | MN | 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 56303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SD | |
| Certified Registered Nurse Anesthetist (Crna) | ND | |
| Nurse Practitioner | SD | |
| Nurse Practitioner | TX | |
| General Practice, Family Practice | SD | |
| Family Practice | SD | |
| Physician Assistant | SD | |
| Nurse Practitioner | SD | |
| Physician Assistant | VA | |
| - | SD |
Reviews
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