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NATHAN GAINES M.D.
NPI 1134562234
Psychiatry & Neurology - Neurology in Oakland, CA

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
1411 E 31ST ST, OAKLAND, CA 94602(510) 535-7390 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 11, 2018, Jan 30, 2017 (2 updates tracked since 2017).

About Nathan Gaines M.d. NPPES

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

NATHAN GAINES M.D. (NPI 1134562234) is an individual neurology provider in Oakland, California, licensed in California (A134201) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Js Weill Medical College, Cornell University (2013).

NPPES Registry Identity

NPI1134562234
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameNATHAN GAINESCredential: M.D.
Location Address1411 E 31ST STOakland, CA 94602
Mailing Address1411 E 31st StOakland, CA 94602-1092 · (510) 535-7390
Phone(510) 535-7390
Sole ProprietorYes
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateJuly 11, 20182 updates tracked since enumeration
✔ NPI 1134562234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A134201
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1411 E 31ST ST, Oakland, CA 94602
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Nathan Gaines M.d. 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 ID4082997218
PECOS Enrollment IDI20180712002541
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
92 services61 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
81 services40 patients
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.
57 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services13 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94602 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

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.

MS. YVONNE DIANE ESCARSEGA MSW
Social Worker (Clinical)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4373
MR. JUAN CASILLAS JR. NP
Nurse Practitioner (Family)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4800
SADHANA SAMANT MD
Obstetrics & Gynecology
1411 E 31ST ST, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Alameda County (510) 437-4323
PATRICIA SCOTT MEYER PA
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (209) 342-2300
NATHALIE BALOGUN MSW MPH
Social Worker (Clinical)
1411 E 31ST ST, ALAMEDA COUNTY MEDICAL CENTER - MEDICAL SOCAL WORK SRVC
OAKLAND, CA 94602
Alameda County (510) 437-4949
CYNTHIA MARIE ROWDEN RN
Registered Nurse (Ambulatory Care)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4373
DR. KAYLA ENRIQUEZ MD
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4564
DR. CHERYL LIN PARK M.D.
Surgery
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4743

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 Nathan Gaines's NPI number?

The NPI number for Nathan Gaines is 1134562234. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Nathan Gaines located?

Nathan Gaines practices at 1411 E 31st St, Oakland, CA 94602. The listed phone number is (510) 535-7390.

What is Nathan Gaines's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Nathan Gaines enrolled in Medicare?

Yes. Nathan 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 Nathan Gaines was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.