JACQUELINE GALLAGHER (PA) – Physician Assistant, NPI 1063470557
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
385 PHYSICIAN ASSISTANT in VT
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Provider Addresses for JACQUELINE GALLAGHER (PA)
PO BOX 547
ATT: CVMC FINANCE DEPT
BARRE, VT 056410547
Phone: (802) 371-4365
Fax: (802) 371-4481
Type: Mailing
Central Vermont Medical Center, 130, Fisher Road, Berlin, Washington County, Vermont, 05602, United States
EMERGENCY DEPT
BERLIN, VT 056029516
Phone: (802) 371-4365
Fax: (802) 371-4481
Type: Location
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: 2012-01-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051129000336 | I | Physician Assistant | MA | TBD |
| I20120118000686 | I | Physician Assistant | VT | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 138 | 55 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 52 | 23 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 50 | 25 | $0 |
| 87400 | Detection test by immunoassay technique for influenza virus | 38 | 19 | $0 |
| 71046 | X-ray of chest, 2 views | 29 | 16 | $0 |
Insurance plans in this area (ZIP 05641)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Physician Assistant | MA | |
| Physician Assistant | NH | |
| - | MA | |
| Nurse Practitioner | MA | |
| Physician Assistant | RI | |
| Internal Medicine, Pediatric Medicine | MA | |
| Physician Assistant | MA | |
| - | MA | |
| - | MA |
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