IRENE GAINES
NPI 1124405196
Internal Medicine in Newark, DE

Active since April 29, 2015PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718(302) 623-0188 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2018, Jul 19, 2018 (2 updates tracked since 2018).

About Irene Gaines NPPES

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

IRENE GAINES (NPI 1124405196) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C1-0012842) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of New York University Medical College - Nlg (2015).

NPPES Registry Identity

NPI1124405196
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameIRENE GAINES
Location Address4755 OGLETOWN STANTON RD STE 5A43Newark, DE 19718
Mailing Address1250 E Marshall St, Box 980509Richmond, VA 23298-5051 · (804) 828-8786 · Fax (804) 828-5466
Sole ProprietorNo
Medical School CMSNew York University Medical College - NlgGraduated 2015
Enumeration DateApril 29, 2015
Last NPPES UpdateSeptember 12, 20182 updates tracked since enumeration
NPI 1124405196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in DE · C1-0012842
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4755 OGLETOWN STANTON RD STE 5A43, Newark, DE 19718

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Irene Gaines 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 ID8820303407
PECOS Enrollment IDI20181009001009
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
210 services208 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
142 services140 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43, CHRISTIANA HOSPITAL
NEWARK, DE 19718
Nurse Practitioner (Adult Health)
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Nurse Practitioner
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Nurse Practitioner (Family)
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Hospitalist
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irene Gaines's NPI number?

The NPI number for Irene Gaines is 1124405196. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Irene Gaines located?

Irene Gaines practices at 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718. The listed phone number is (302) 623-0188.

What is Irene Gaines's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Irene Gaines enrolled in Medicare?

Yes. Irene Gaines is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Irene Gaines was last updated on September 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.