DR. LARS MICHAEL GALLDIN (MD) – Anesthesiology Physician, NPI 1063640902

DR. LARS MICHAEL GALLDIN (MD) is a healthcare provider. based in Fairfax, Virginia. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 25MA09229800 (NJ). The NPI Number for DR. LARS MICHAEL GALLDIN (MD) is 1063640902

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARS MICHAEL GALLDIN (MD)
NPI
1063640902
Phone
(703) 295-9360
Address
3998 FAIR RIDGE DR
Enumeration Date
30 June 2009
Last Update Date
20 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5188914141
Graduation Year
2009 (17 years ago)
PAC ID
3274775945
Group Practice PAC ID
7719041102
Professional Enrollment ID
I20180925001603
Address ID
NY129835644SA2233X86XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,667 ANESTHESIOLOGY in NJ

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Provider Addresses for DR. LARS MICHAEL GALLDIN (MD)

  • 3998, Fair Ridge Drive, Pender, Chantilly, Fairfax County, Virginia, 22033, United States

    SUITE 300

    FAIRFAX, VA 220339590

    Phone: (703) 295-9360

    Fax: (703) 766-9725

    Type: Mailing

  • St. Joseph’s Regional Medical Center, 703, Main Street, Paterson, Passaic County, New Jersey, 07503, United States

    PATERSON, NJ 075032621

    Phone: (973) 754-2790

    Fax: (973) 754-2791

    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: 2018-09-25

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180925001603IAnesthesiologyNYTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3131$0
00811Anesthesia for other procedure on large bowel using an endoscope2828$0
00813Anesthesia for procedure on small and large bowel using an endoscope2525$0
View full utilization report →

Insurance plans in this area (ZIP 22033)

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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: 7719041102View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)UT
-VT
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)NY
-NY
Certified Registered Nurse Anesthetist (Crna)CO

Reviews

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Frequently asked questions

Does DR. LARS MICHAEL GALLDIN (MD) have a public NPI I can cite?
Public records show DR. LARS MICHAEL GALLDIN (MD) under NPI 1063640902.
Does the public listing show DR. LARS MICHAEL GALLDIN (MD) as active?
DR. LARS MICHAEL GALLDIN (MD)'s NPI record reflects an active status in NPPES.
What does the directory say DR. LARS MICHAEL GALLDIN (MD) does?
Insurance directories may phrase it differently, but here DR. LARS MICHAEL GALLDIN (MD) maps to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. LARS MICHAEL GALLDIN (MD) tied to Fairfax, Virginia?
If you are local to Fairfax, Virginia, DR. LARS MICHAEL GALLDIN (MD) may be relevant to your search.
Can I export DR. LARS MICHAEL GALLDIN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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