MATTHEW T GAINES MD
NPI 1205802667
Hospitalist in Foley, AL
About Matthew T Gaines Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW T GAINES MD (NPI 1205802667) is an individual hospitalist provider in Foley, Alabama, licensed in Alabama (24491) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with King's Daughters Medical Center-brookhaven, and maintains a secondary practice location in Brookhaven.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Matthew T Gaines Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Matthew Gaines reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gulf Shores, AL 36542
- Reassigned Medicare billing, Alabama enrollment
- 112 clinicians in this Medicare group
Brookhaven, MS 39601
- Reassigned Medicare billing, Mississippi enrollment
- 153 clinicians in this Medicare group
Jackson, MS 39202
- Reassigned Medicare billing, Mississippi enrollment
- 154 clinicians in this Medicare group
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 8
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
King's Daughters Medical Center-Brookhaven
Acute Care Hospitals · Brookhaven, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 36535 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
FOLEY, AL 36535
FOLEY, AL 36535
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 Matthew Gaines's NPI number?
The NPI number for Matthew Gaines is 1205802667. It was assigned to this individual provider in the NPPES registry on February 27, 2006.
Where is Matthew Gaines located?
Matthew Gaines practices at 1613 N Mckenzie St, Foley, AL 36535. The listed phone number is (251) 949-3711.
What is Matthew Gaines's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Matthew Gaines enrolled in Medicare?
Yes. Matthew 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.
Which organizations bill Medicare for Matthew Gaines's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Gaines reassigns Medicare benefits to 3 organizations: Foley Clinic Corp (Gulf Shores, AL), Kings Daughters Medical Center (Brookhaven, MS) and Mississippi Baptist Medical Center, Inc. (Jackson, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Gaines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Gaines accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Matthew 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 Matthew Gaines affiliated with any hospitals?
According to CMS data, Matthew Gaines is affiliated with King's Daughters Medical Center-Brookhaven.
When was this NPI record last updated?
The NPPES record for Matthew Gaines was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Matthew T Gaines, MD · NPI 1205802667
Hospitalist physician in Foley, Alabama. Individual provider, active in the CMS NPPES registry since February 27, 2006.
## Identity
- **NPI:** 1205802667 (Entity type: Individual)
- **Enumerated:** February 27, 2006
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 24491 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1613 N MCKENZIE ST, Foley, AL 36535-2247
- **Phone:** (251) 949-3711 · **Fax:** (251) 949-3715
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Foley Clinic Corp (NPI 1629027826, Gulf Shores, AL); Kings Daughters Medical Center (NPI 1043245368, Brookhaven, MS); Mississippi Baptist Medical Center, Inc. (NPI 1467589556, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Alabama College Of Medicine, class of 2001
## Record status
- **NPPES last updated:** May 8, 2026
- **Other identifiers:** Medicaid 00125422 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1205802667) · Data from the CMS NPPES public registry.