DR. KARL H LAGALLY (DO) – Family Medicine Physician, NPI 1720035918
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
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Provider Addresses for DR. KARL H LAGALLY (DO)
9763, Courthouse Road, Spotsylvania, Spotsylvania Courthouse, Spotsylvania County, Virginia, 22407, United States
SPOTSYLVANIA, VA 225531915
Phone: (540) 786-1200
Fax: (540) 710-2752
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 75 Open Payments records for all available years, with a total value of $1,522.
Total Amount is formed as General ($1,522) + Research ($0) + Ownership ($0) = $1,522.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($474).
Total Amount
$1,522
General + Research + Ownership
Payments
75
Total payment records
General Amount
$1,522
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $474 |
| Abbott Laboratories | $247 |
| Novo Nordisk Inc | $218 |
| PFIZER INC. | $108 |
| AstraZeneca Pharmaceuticals LP | $97 |
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: 2005-11-02
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 |
|---|---|---|---|---|
| I20051102000526 | I | Family Practice | VA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 177 | 93 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 33 | $0 |
| 83036 | Hemoglobin a1c level | 19 | 16 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 12 | 12 | $0 |
Insurance plans in this area (ZIP 22553)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | VA | 81002 | Urinalysis, manual test | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | MO | |
| Physician Assistant | VA | |
| - | SC | |
| Physician Assistant | VA | |
| - | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| General Practice, Internal Medicine, Emergency Medicine | VA |
Reviews
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