NPI Details
Fred J Galluccio, M.D. is a family medicine in Newport Beach, CA with 47 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Fred J Galluccio, M.D. NPI is 1104934397. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduation Year:1979
The provider's business location address is:
901 DOVER DR
STE 102
NEWPORT BEACH, CA
ZIP 92660-538
Phone: (949) 646-4865
Fax: (949) 646-7716
The NPI 1104934397 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 05D0712088 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS:G2212)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Annual depression screening, 15 minutes (HCPCS:G0444)
- Urinalysis, manual test (HCPCS:81002)
- Test to measure expiratory airflow and volume changes before and after medication administration (HCPCS:94060)
- Advance care planning, first 30 minutes (HCPCS:99497)
- Evaluation of neuropsychological test, first hour (HCPCS:96132)
- Administration of psychological or neuropsychological test by technician, first 30 minutes (HCPCS:96138)
- Transitional care management services for problem of moderate complexity (HCPCS:99495)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 8/28/2006 and was last updated on 7/9/2007.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Q00000X | Family Medicine | | G43026 | CALIFORNIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | A49201 | MEDICARE UPIN | | |
