LYNDON B. GAINES M.D.
NPI 1225075260
Obstetrics & Gynecology in Gallipolis, OH

Q: What is Lyndon Gaines's NPI number?

The NPI number for Lyndon Gaines is 1225075260. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Q: What is Lyndon Gaines's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lyndon Gaines was last updated on January 21, 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.

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment

81.42/100

CMS Quality Rating

100 JACKSON PIKE, GALLIPOLIS, OH 45631(740) 446-5381(740) 446-5082 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2021, Jun 1, 2020 (2 updates tracked since 2020).

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About Lyndon B. Gaines M.d. NPPES

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

LYNDON B. GAINES M.D. (NPI 1225075260) is an individual obstetrics & gynecology provider in Gallipolis, Ohio, licensed in Ohio (35-07-3976) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Ohio State University College Of Medicine (1991).

NPPES Registry Identity

NPI1225075260

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameLYNDON B. GAINESCredential: M.D.

Location Address100 JACKSON PIKEGallipolis, OH 45631-1560

Mailing Address90 Jackson PikeGallipolis, OH 45631-1560 · (740) 446-5381 · Fax (740) 446-5082

Phone(740) 446-5381

Fax(740) 446-5082

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1991

Enumeration DateMay 31, 2006

Last NPPES UpdateJanuary 21, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2021

✔ NPI 1225075260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in OH · 35-07-3976✔ Licensed in WV · 20258

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

100 JACKSON PIKE, Gallipolis, OH 45631

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Other Identifiers 8

Other000000006850Anthem Bcbs

Medicaid2052317OH

Other310917085039OH · Caresource Medicaid

Other2052317OH · Molina Medicaid

Other000000181641OH · Unison Medicaid

Medicaid0093789000WV

Other001714102Mountain State Bcbs

Other160037957Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Lyndon B. 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 ID6507825999

PECOS Enrollment IDI20070727000497

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.

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.

30 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

19 services15 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

16 services16 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

16 services16 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360054

Location100 Jackson PikeGallipolis, OH 45631 · Gallia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

81.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.28

Promoting Interoperability

100

Improvement Activities

Cost

57.96

Reported Quality Measures

Breast Cancer Screening

90%242 patients4/55-star benchmark: 93%

Colorectal Cancer Screening

66%370 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

81%229 patients4/55-star benchmark: 91%

e-Prescribing

100%440 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

36%894 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

53%1,316 patients4/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 79% · 1,119 patients

Patients screened: 88% · 1,119 patients

63%278 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

90%499 patients4/55-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.

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.

EUGENIA KAY MCCOY CRNA, DMPNA

Nurse Anesthetist, Certified Registered