Medicare Enrolled
Dr. Lisa Gallagher, DO
Family Medicine · Elverson, PA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Gallagher from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Gallagher
Dr. Lisa Gallagher is a family medicine specialist in Elverson, PA, with 14 years of NPI registration. Based on federal Medicare data, Dr. Gallagher performed 935 Medicare services across 717 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gallagher received a total of $5,091 from 30 pharmaceutical and/or device companies across 342 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Gallagher is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 14 years in practice
▲ Top 29% volume in PA
$5,091 industry payments
Medicare Practice Summary
Medicare Utilization ↗935
Medicare services
Top 29% in PA for family medicine
717
Unique beneficiaries
$92
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~67 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
390 | $86 | $232 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
148 | $137 | $350 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
110 | $56 | $170 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
54 | $32 | $41 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
31 | $62 | $63 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
30 | $134 | $302 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
29 | $175 | $519 |
| Recombinant quadrivalent influenza vaccine A flu shot that protects against four strains of influenza virus. It is produced using recombinant DNA technology rather than growing the virus in eggs. |
18 | $71 | $161 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
17 | $280 | $315 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
17 | $32 | $43 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
15 | $163 | $496 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
14 | $11 | $89 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
13 | $2 | $25 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
13 | $119 | $365 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
13 | $44 | $161 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
12 | $175 | $505 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
11 | $2 | $68 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$5,091
Total received (2018-2024)
Avg $727/year across 7 years
Top 11% in PA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
30
Companies
342
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,091 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$710
2023
$726
2022
$694
2021
$448
2020
$1,358
2019
$725
2018
$430
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$209
Lilly USA, LLC
$111
Novo Nordisk Inc
$97
Amgen Inc.
$60
AstraZeneca Pharmaceuticals LP
$42
Astellas Pharma US Inc
$38
PFIZER INC.
$33
Boehringer Ingelheim Pharmaceuticals, Inc.
$26
Exact Sciences Corporation
$23
GlaxoSmithKline, LLC.
$19
Abbott Laboratories
$17
Bayer Healthcare Pharmaceuticals Inc.
$17
Dexcom, Inc.
$15
Top 3 companies account for 59.0% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$765
Novo Nordisk Inc
$694
Lilly USA, LLC
$635
Amarin Pharma Inc.
$557
Amgen Inc.
$385
AstraZeneca Pharmaceuticals LP
$324
PFIZER INC.
$319
AbbVie Inc.
$155
Merck Sharp & Dohme Corporation
$142
Allergan, Inc.
$141
Boehringer Ingelheim Pharmaceuticals, Inc.
$136
Janssen Pharmaceuticals, Inc
$113
Teva Pharmaceuticals USA, Inc.
$102
GlaxoSmithKline, LLC.
$90
Merck Sharp & Dohme LLC
$75
Dexcom, Inc.
$71
Shire North American Group Inc
$63
Bausch Health US, LLC
$55
Astellas Pharma US Inc
$38
Alexion Pharmaceuticals, Inc.
$38
Kowa Pharmaceuticals America, Inc.
$26
Exact Sciences Corporation
$23
Bayer HealthCare Pharmaceuticals Inc.
$22
Biohaven Pharmaceuticals, Inc.
$22
Biohaven Pharmaceutical Holding Company Ltd.
$21
Xeris Pharmaceuticals, Inc.
$19
Abbott Laboratories
$17
Bayer Healthcare Pharmaceuticals Inc.
$17
Novartis Pharmaceuticals Corporation
$16
IBSA Pharma Inc.
$11
Top 3 companies account for 41.1% of all-time payments
Associated products mentioned in payments ›
ADVAIR · AIRSUPRA · AJOVY · APLENZIN · Aimovig · BELSOMRA · BREZTRI · CHANTIX · COLOGUARD · COMIRNATY · Cologuard Collection Kit · Dexcom G6 Transmitter · EMGALITY · ENTRESTO · FARXIGA · FREESTYLE LIBRE 3 · GVOKE PFS · INVOKANA · JANUVIA · JARDIANCE · Kerendia · Livalo · MOUNJARO · MYDAYIS · NEXPLANON · NURTEC ODT · Otezla · Ozempic · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · QULIPTA · RYBELSUS · Repatha · Rybelsus · STIOLTO RESPIMAT · SYMBICORT · Saxenda · Strensiq · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TRUMENBA · Tirosint · Tresiba · UBRELVY · VAXNEUVANCE · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · WELLBUTRIN · Wegovy · XARELTO
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Family medicine physicians within 10 mi
752
Per 100K population
139.0
County median income
$123,041
Nearest hospital
POTTSTOWN HOSPITAL
12.0 mi
12.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Gallagher is a clinical cardiology specialist, with above-average Medicare volume (top 29% in PA), with low-engagement industry engagement in the top 11% of PA peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Gallagher experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Gallagher performed 390 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Gallagher receive payments from pharmaceutical companies?
Yes. Dr. Gallagher received a total of $5,091 from 30 companies across 342 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Gallagher's costs compare to other family medicine physicians in Elverson?
Dr. Gallagher's average Medicare payment per service is $92. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Gallagher) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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