1. Home
  2. Directory
  3. Virginia
  4. Suffolk
  5. Orthopaedic Surgery
  6. NPI Profile

MICHAEL ANDREW CAINES M.D.
NPI 1144242298
Orthopaedic Surgery in Suffolk, VA

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
89.46/100
CMS Quality Rating
5838 HARBOUR VIEW BLVD, SUITE 100, SUFFOLK, VA 23435(757) 673-5680(757) 483-3075 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Andrew Caines M.d. NPPES

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

MICHAEL ANDREW CAINES M.D. (NPI 1144242298) is an individual orthopaedic surgery provider in Suffolk, Virginia, licensed in Virginia (0101231723) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Maryview Medical Center, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1992).

NPPES Registry Identity

NPI1144242298
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL ANDREW CAINESCredential: M.D.
Location Address5838 HARBOUR VIEW BLVD, SUITE 100Suffolk, VA 23435-2663
Mailing Address5838 Harbour View Blvd, Suite 100Suffolk, VA 23435-2663 · (757) 673-5680 · Fax (757) 483-3075
Phone(757) 673-5680
Fax(757) 483-3075
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1992
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1144242298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in VA · 0101231723
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
5838 HARBOUR VIEW BLVD, Suffolk, VA 23435
Open in Google Maps ↗

Other Identifiers 3

OtherP00799702VA · Rr Medicare
Medicaid006408664VA
Other200043180VA · Medicare Rr

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

Michael Andrew Caines 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 ID749213437
PECOS Enrollment IDI20100111000652
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
191 services138 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
184 services117 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
177 services122 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
110 services59 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
100 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients

Hospital Affiliations CMS Care Compare 3

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

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490017
Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County
Emergency services

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490041
Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County
Emergency services Birthing friendly

Bon Secours Southampton Memorial Hospital

Acute Care Hospitals · Franklin, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490092
Location100 Fairview Drive - PO Box 817Franklin, VA 23851 · Franklin City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23435 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

89.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality80.85
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
100%25 patients5/55-star benchmark: 100%
Breast Cancer Screening
67%569 patients3/55-star benchmark: 93%
Cervical Cancer Screening
28%538 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
4%360 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
49%977 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
68%556 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
17%228 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
33%228 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%2,837 patients4/55-star benchmark: 100%
e-Prescribing
100%217 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
63%430 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
84%1,442 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
35%1,135 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,761 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 88% · 778 patients
Patients screened: 93% · 778 patients
62%104 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%613 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%477 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 6% · 449 patients
Patients totalRate: 14% · 449 patients
13%449 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier19 claims20 services$229.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

VIRGINIA ONCOLOGY ASSOCIATES
Durable Medical Equipment & Medical Supplies
5838 HARBOUR VIEW BLVD, SUITE 105
SUFFOLK, VA 23435
Suffolk City (757) 484-0215
AARON L MARLOW M.D.
Orthopaedic Surgery
5838 HARBOUR VIEW BLVD, SUITE 100
SUFFOLK, VA 23435
Suffolk City (757) 673-5680
MR. JOSHUA ANTHONY WHITE ATC
Specialist/Technologist (Athletic Trainer)
5838 HARBOUR VIEW BLVD
SUFFOLK, VA 23435
Suffolk City (757) 673-5971
DR. SNEHAL A. DAMLE M.D
Internal Medicine (Hematology & Oncology)
5838 HARBOUR VIEW BLVD, SUITE 105
SUFFOLK, VA 23435
Suffolk City (757) 484-0215
KRAIG S GRAHAM MD
Orthopaedic Surgery
5838 HARBOUR VIEW BLVD, SUITE 108
SUFFOLK, VA 23435
Suffolk City (757) 673-5680
DR. CHARLES PIERRE WILLIAMS MD
Surgery
5838 HARBOUR VIEW BLVD, SUITE 240
SUFFOLK, VA 23435
Suffolk City (757) 483-3030
BREE CLEMMONS M.ED, ATC, LAT
Specialist/Technologist (Athletic Trainer)
5838 HARBOUR VIEW BLVD
SUFFOLK, VA 23435
Suffolk City (757) 879-1621
DR. RYAN SEUTTER M.D.
Internal Medicine (Cardiovascular Disease)
5838 HARBOUR VIEW BLVD, SUITE 270
SUFFOLK, VA 23435
Suffolk City (757) 541-1050

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 Michael Caines's NPI number?

The NPI number for Michael Caines is 1144242298. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Michael Caines located?

Michael Caines practices at 5838 Harbour View Blvd Suite 100, Suffolk, VA 23435. The listed phone number is (757) 673-5680.

What is Michael Caines's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Caines enrolled in Medicare?

Yes. Michael Caines 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.

Is Michael Caines affiliated with any hospitals?

According to CMS data, Michael Caines is affiliated with Bon Secours Maryview Medical Center, Mary Immaculate Hospital and Bon Secours Southampton Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Caines was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.