NPI registry status
Active
2026 NPPES data Diagnostic Radiology Physician NPI 1811217375 MD
Verify on CMS → Anthony Gallo, MD
Diagnostic Radiology Physician in Pikeville, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 39,551 in Diagnostic Radiology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
MIPS score
100/100
▲ 17 pts above national avg 83.5 · Exceptional
Industry payments
$21.2
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Anthony Gallo, MD reported a CMS MIPS final score of 100/100 - above the 83.5 national average.
- 100/100
- MIPS score · +17 vs avg
- Likely
- board-certified (heuristic)
- ≥92nd
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Anthony Gallo, MD
Federal records show an active NPI with a CMS quality score on file — objective federal reporting, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1811217375), first enumerated 06/08/2010.
Source: CMS NPPES
- Not in federal data
Medicare Part D participation
No 2023 Medicare Part D prescribing volume appears in the CMS public file for this NPI (may reflect specialty, new enrollment, or non-prescribing role).
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 100/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$21.2 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1811217375 · Diagnostic Radiology Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-ELITE · BOOK-THIN · PHOTO-FINISH
- NPI-10 1811217375
- ENUM-MID 2010
- TAX-MID 40K Diagnostic Radiology
- MIPS-ELITE 100/100
- BOOK-THIN 456 in Kentucky
- PHOTO-FINISH Dirk Bringhurst · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Gallo · this pro…
Gallo · this provider
100 MIPS pts
- David Davenport …
David Davenport
100 MIPS pts
- Dirk Bringhurst …
Dirk Bringhurst
100 MIPS pts
- Timothy Brown · …
Timothy Brown
100 MIPS pts
- Komal Chughtai ·…
Komal Chughtai
100 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Anthony Gallo, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
100 ≥ 92nd percentile 92% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
✓
Board certification likely (heuristic, not verified)
Anthony Gallo, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Anthony Gallo, MD?
High performer (top quartile)Primary specialty
Diagnostic Radiology Physician
MIPS final score
100/100 16.5 pts vs avg
Specialty distribution in Kentucky
How Diagnostic Radiology Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Anthony Gallo, MD's 2023 MIPS final score plotted against the Diagnostic Radiology Physician national average
- MIPS Final Score
- 100/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1811217375 |
|---|---|
| Specialty | Diagnostic Radiology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/08/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Measured-score avg: 83.5
100
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where Anthony Gallo, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Northern Arizona Radiology P C
Flagstaff, AZ
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Anthony Gallo, MD. Source: openpaymentsdata.cms.gov.
Total received
$21
Largest payer
ARGON MEDICAL DEVICES, INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Diagnostic Radiology Physician Overview
How Anthony Gallo, MD fits within the Diagnostic Radiology Physician landscape nationally.
39,551
Diagnostic Radiology Physician Providers in US
56
States with Diagnostic Radiology Physician
63
Avg Claims per Provider
Nationwide Diagnostic Radiology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Gallo, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (100 here).
Same NPPES enumeration year (2010)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Diagnostic Radiology Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Gallo.
One of 456 Diagnostic Radiology Physician providers enrolled in Kentucky, 5 are shown here.
Dr. Jannice Aaron
M.D.
La Grange, KY
Dr. Hicham Abada
MD
Lexington, KY
Dr. Luis Acosta
MD
Lexington, KY
Dr. Sanjay Agarwala
MD
Lexington, KY
Dr. Albert Alexander
M.D.
Louisville, KY
Compare Diagnostic Radiology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Anthony Gallo, MD's specialty? ▼
Anthony Gallo, MD specializes in Diagnostic Radiology Physician and practices in Pikeville, Kentucky. Credentials: MD.
What is Anthony Gallo, MD's Medicare quality score? ▼
Anthony Gallo, MD has a CMS MIPS Final Score of 100/100 (Quality: 100). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Anthony Gallo, MD located? ▼
Anthony Gallo, MD is located at 161 COLLEGE ST STE 1, Pikeville, KY, 41501. Phone: (606) 432-1357.
What is Anthony Gallo, MD's NPI number? ▼
Anthony Gallo, MD's National Provider Identifier (NPI) is 1811217375, issued on 06/08/2010.
How many Diagnostic Radiology Physician providers are there in the US? ▼
There are 39,551 Diagnostic Radiology Physician providers across 56 states in the US. The average Diagnostic Radiology Physician provider writes 63 Medicare Part D claims per year.
Does Anthony Gallo, MD accept Medicare? ▼
Anthony Gallo, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Anthony Gallo, MD's credentials? ▼
Anthony Gallo, MD's NPI is 1811217375 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.