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ERIC GAINES PA-C
NPI 1164664561
Physician Assistant - Surgical in Sheffield Village, OH

Active since March 31, 2009PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
5001 TRANSPORTATION DR, SHEFFIELD VILLAGE, OH 44054(440) 329-2800(440) 329-2810 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eric Gaines Pa-c NPPES

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

ERIC GAINES PA-C (NPI 1164664561) is an individual surgical provider in Sheffield Village, Ohio, licensed in Ohio (50-003327) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Uh St John Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1164664561
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameERIC GAINESCredential: PA-C
Location Address5001 TRANSPORTATION DRSheffield Village, OH 44054-2849
Mailing Address5001 Transportation DrSheffield Village, OH 44054-2849 · (440) 329-2800 · Fax (440) 329-2810
Phone(440) 329-2800
Fax(440) 329-2810
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 31, 2009
Last NPPES UpdateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
✔ NPI 1164664561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in OH · 50-003327✔ Licensed in GA · 1857
5001 TRANSPORTATION DR, Sheffield Village, OH 44054
Open in Google Maps ↗

Other Identifiers 1

Medicaid0080572OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Eric Gaines Pa-c 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 ID3072644368
PECOS Enrollment IDI20110928000515
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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
53 services52 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
48 services46 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.
39 services39 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.
28 services28 patients
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.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360123
Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga County
Emergency services

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360145
Location630 East River StreetElyria, OH 44035 · Lorain County

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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

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.

KAITLIN WORKMAN PA-C
Physician Assistant
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE, OH 44054
Lorain County (440) 329-2800
DR. WILLIAM B. STANFIELD M.D.
Orthopaedic Surgery
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE, OH 44054
Lorain County (440) 329-2800
UNIVERSITY PRIMARY CARE PRACTICES INC
Orthopaedic Surgery
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE, OH 44054
Lorain County (440) 329-2800
DR. ROBERT M. ZANOTTI M.D.
Orthopaedic Surgery
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE, OH 44054
Lorain County (440) 329-2800
ERIN STEHMAN
Nurse Practitioner (Family)
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE, OH 44054
Lorain County (440) 328-3435
CENTER FOR ORTHOPEDICS, INC.
Orthopaedic Surgery
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE, OH 44054
Lorain County (440) 329-2800
MR. ROBERT HARASTY PA
Physician Assistant (Surgical)
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE, OH 44054
Lorain County (440) 329-2800
JAMES EDWARD OHLIGER III MD
Orthopaedic Surgery (Sports Medicine)
5001 TRANSPORTATION DR, ORTHOPAEDIC CLINIC
SHEFFIELD, OH 44054
Lorain County (440) 329-2800

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 Eric Gaines's NPI number?

The NPI number for Eric Gaines is 1164664561. It was assigned to this individual provider in the NPPES registry on March 31, 2009.

Where is Eric Gaines located?

Eric Gaines practices at 5001 Transportation Dr, Sheffield Village, OH 44054. The listed phone number is (440) 329-2800.

What is Eric Gaines's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Eric Gaines enrolled in Medicare?

Yes. Eric 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.

What insurance does Eric Gaines accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Eric Gaines as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Eric Gaines affiliated with any hospitals?

According to CMS data, Eric Gaines is affiliated with Uh St John Medical Center and University Hospitals - Elyria Medical Center.

When was this NPI record last updated?

The NPPES record for Eric Gaines was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.