MR. PAUL GAINES JR. MSW, LICSW, M.ED.
NPI 1235575762
Social Worker - Clinical in Anchorage, AK
About Mr. Paul Gaines Jr. Msw, Licsw, M.ed. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PAUL GAINES JR. MSW, LICSW, M.ED. (NPI 1235575762) is an individual clinical provider in Anchorage, Alaska, licensed in Alaska (103417) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fairbanks, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
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
Mr. Paul Gaines Jr. Msw, Licsw, M.ed. 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 Paul Gaines reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Anchorage, AK 99503
- Reassigned Medicare billing, Alaska enrollment
- 6 clinicians in this Medicare group
Anchorage, AK 99503
- Reassigned Medicare billing, Alaska enrollment
- 16 clinicians in this Medicare group
Ester, AK 99709
- Reassigned Medicare billing, Alaska enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Paul Gaines's NPI number?
The NPI number for Paul Gaines is 1235575762. It was assigned to this individual provider in the NPPES registry on May 10, 2013.
Where is Paul Gaines located?
Paul Gaines practices at 4031 San Ernesto Ave Apt 4, Anchorage, AK 99508. The listed phone number is (385) 309-3999.
What is Paul Gaines's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Paul Gaines enrolled in Medicare?
Yes. Paul 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 Paul Gaines's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Gaines reassigns Medicare benefits to 3 organizations: Thriveworks Clinical - Alaska LLC (Anchorage, AK), Anchorage Bariatrics, LLC (Anchorage, AK) and Luma Counseling (Ester, AK). 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 Paul Gaines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Gaines accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Paul 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.
When was this NPI record last updated?
The NPPES record for Paul Gaines was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mr. Paul Gaines Jr., MSW, LICSW, M.ED. · NPI 1235575762
Clinical provider in Anchorage, Alaska. Individual provider, active in the CMS NPPES registry since May 10, 2013.
## Identity
- **NPI:** 1235575762 (Entity type: Individual)
- **Enumerated:** May 10, 2013
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 103417 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 4031 SAN ERNESTO AVE APT 4, Anchorage, AK 99508-2829
- **Phone:** (385) 309-3999
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Thriveworks Clinical - Alaska LLC (NPI 1295452845, Anchorage, AK); Anchorage Bariatrics, LLC (NPI 1174076822, Anchorage, AK); Luma Counseling (NPI 1104621424, Ester, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** June 9, 2025
- **Other identifiers:** Other ISW02768 (RI); Other 121658 (MA); Other 103417 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1235575762) · Data from the CMS NPPES public registry.