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NICOLE MARIE GAINEY PA-C
NPI 1225708241
Physician Assistant in Oroville, CA

Active since September 20, 2021PECOS EnrolledAccepts Medicare Assignment
73.34/100
CMS Quality Rating
2450 ORO DAM BLVD E, OROVILLE, CA 95966(530) 712-2171 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Marie Gainey Pa-c NPPES

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

NICOLE MARIE GAINEY PA-C (NPI 1225708241) is an individual physician assistant in Oroville, California and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225708241
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE MARIE GAINEYCredential: PA-C
Location Address2450 ORO DAM BLVD EOroville, CA 95966-6052
Mailing Address11874 Beverly Jean RdSturgis, SD 57785-6963 · (605) 645-2423
Phone(530) 712-2171
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 20, 2021
NPPES CertifiedSeptember 20, 2021
✔ NPI 1225708241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2450 ORO DAM BLVD E, Oroville, CA 95966
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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

Nicole Marie Gainey 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 ID244628923
PECOS Enrollment IDI20211123002437
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 7

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.
844 services516 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.
157 services141 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
76 services54 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
67 services62 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
30 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95966 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

73.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality36.89
Promoting Interoperability100
Improvement Activities40
Cost57.82

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers71 claims173 services$6.07 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers37 claims47 services$1.09 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers14 claims14 services$39.10 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers19 claims103 services$2.42 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers26 claims26 services$54.76 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$6.02 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 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KHURRAM MUMTAZ M.D.
Internal Medicine (Nephrology)
2450 ORO DAM BLVD E
OROVILLE, CA 95966
Butte County (530) 712-2171
ELITE ROBOTIC SURGICAL CONSULTANTS OF CALIFORNIA PC
Urology
2450 ORO DAM BLVD E
OROVILLE, CA 95966
Butte County (530) 533-2856
DR. DAVID V LOUNSBERRY MD
Family Medicine
2450 ORO DAM BLVD E, SUITE D
OROVILLE, CA 95966
Butte County (530) 538-3171
DR. ARNOLD M REY MD
Family Medicine
2450 ORO DAM BLVD E
OROVILLE, CA 95966
Butte County (530) 712-2171
VIRGIL HILARN DUVERNAY MD, PHD, FACP
Internal Medicine
2450 ORO DAM BLVD E
OROVILLE, CA 95966
Butte County (530) 712-2171
KIM LAFOURCHE
Nurse Practitioner (Gerontology)
2450 ORO DAM BLVD E
OROVILLE, CA 95966
Butte County (530) 712-2171
DR. JAMES RUDOLPH GIBSON DNP
Nurse Anesthetist, Certified Registered
2450 ORO DAM BLVD E
OROVILLE, CA 95966
Butte County (530) 533-8500
OROVILLE HOSPITAL
Pharmacy (Community/Retail Pharmacy)
2450 ORO DAM BLVD E, SUITE B
OROVILLE, CA 95966
Butte County (530) 533-1234

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 Nicole Gainey's NPI number?

The NPI number for Nicole Gainey is 1225708241. It was assigned to this individual provider in the NPPES registry on September 20, 2021.

Where is Nicole Gainey located?

Nicole Gainey practices at 2450 Oro Dam Blvd E, Oroville, CA 95966. The listed phone number is (530) 712-2171.

What is Nicole Gainey's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Gainey enrolled in Medicare?

Yes. Nicole Gainey 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 Nicole Gainey was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.