CHARLES GAINES JR. RN
NPI 1043668254
Nurse Anesthetist, Certified Registered in Alpharetta, GA

Q: What is Charles Gaines's NPI number?

The NPI number for Charles Gaines is 1043668254. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Q: What is Charles Gaines's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Gaines was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 27, 2016Accepts Medicare Assignment

2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009(678) 690-8340 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Charles Gaines Jr. Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES GAINES JR. RN (NPI 1043668254) is an individual nurse anesthetist, certified registered in Alpharetta, Georgia, licensed in Arkansas (C003150) and active in the NPI registry since May 2016. He is affiliated with Hillcrest Hospital Claremore and is a graduate of Other (2016).

NPPES Registry Identity

NPI1043668254

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameCHARLES GAINES JR.Credential: RN

Location Address2655 NORTHWINDS PKWYAlpharetta, GA 30009-2280

Mailing Address2655 Northwinds PkwyAlpharetta, GA 30009-2280 · (678) 690-8332

Phone(678) 690-8340

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMay 27, 2016

Last NPPES UpdateDecember 21, 2016

✔ NPI 1043668254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in AR · C003150

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 169444 (TN)

2655 NORTHWINDS PKWY, Alpharetta, GA 30009

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma, Health Advantage and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Gaines Jr. Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820382021

PECOS Enrollment IDI20240426003294

Medicare Billing Reassignments

Medicare enrollment records show Charles Gaines reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Anesthesia Of Arkansas Professional Corporation

577 mi

Anesthesiology

3215 N NORTHHILLS BLVD
Fayetteville, AR 72703

Reassigned Medicare billing, Arkansas enrollment
185 clinicians in this Medicare group

NPI 1932519485 (404) 941-1210

Integral Anesthesia, LLC

678 mi

Anesthesiology

3029 W MAIN ST
Jenks, OK 74037

Reassigned Medicare billing, Oklahoma enrollment
199 clinicians in this Medicare group

NPI 1881041515 (918) 701-2300

Emergenchealth PLLC

764 mi

Anesthesiology

4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109

Reassigned Medicare billing, Oklahoma enrollment
315 clinicians in this Medicare group

NPI 1467970897 (972) 861-1270

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on upper abdomen 00790

Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.

26 services26 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hillcrest Hospital Claremore

Acute Care Hospitals · Claremore, OK

2/5 CMS rating

OwnershipProprietary

CMS Certification Number370039

Location1202 N Muskogee PlaceClaremore, OK 74017 · Rogers County

Emergency services Birthing friendly

Hillcrest Hospital South

Acute Care Hospitals · Tulsa, OK

4/5 CMS rating

OwnershipProprietary

CMS Certification Number370202

Location8801 South 101st East AvenueTulsa, OK 74133 · Tulsa County

Emergency services Birthing friendly

Bailey Medical Center, LLC

Acute Care Hospitals · Owasso, OK

OwnershipProprietary

CMS Certification Number370228

Location10502 North 110th East AvenueOwasso, OK 74055 · Tulsa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pre-operative OSA assessment

Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)

100%527 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAE WOOD GRIMSLEY CRNA

Nurse Anesthetist, Certified Registered