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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAMES CHRISTOPHER GAINER MD
NPI 1265060024
Orthopaedic Surgery in Louisville, KY

Active since March 29, 2020PECOS Enrolled
4704 HAERINGDON CT, LOUISVILLE, KY 40299(304) 940-2582 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2026, Jul 7, 2025, Mar 29, 2020 (3 updates tracked since 2020).

About James Christopher Gainer Md NPPES

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

JAMES CHRISTOPHER GAINER MD (NPI 1265060024) is an individual orthopaedic surgery provider in Louisville, Kentucky, licensed in Florida (ME174938) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265060024
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES CHRISTOPHER GAINERCredential: MD
Location Address4704 HAERINGDON CTLouisville, KY 40299-1156
Mailing Address4704 Haeringdon CtLouisville, KY 40299-1156
Phone(304) 940-2582
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 29, 2020
Last NPPES UpdateSeptember 11, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1265060024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in FL · ME174938
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4704 HAERINGDON CT, Louisville, KY 40299
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, AvMed, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Christopher Gainer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446648745
PECOS Enrollment IDI20260702003057
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.

Medicare Billing Reassignment

Medicare enrollment records show James Gainer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Medical Group Inc
39 mi
Internal Medicine
1001 LEAWOOD DR
Frankfort, KY 40601
  • Reassigned Medicare billing, Kentucky enrollment
  • 999 clinicians in this Medicare group
NPI 1629740774 (502) 223-0231

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40299 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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 James Gainer's NPI number?

The NPI number for James Gainer is 1265060024. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is James Gainer located?

James Gainer practices at 4704 Haeringdon Ct, Louisville, KY 40299. The listed phone number is (304) 940-2582.

What is James Gainer's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Gainer enrolled in Medicare?

Yes. James Gainer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Gainer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Gainer reassigns Medicare benefits to Baptist Health Medical Group Inc (Frankfort, KY). The 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 James Gainer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Gainer accept?

Health plans from Anthem Blue Cross and Blue Shield, AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list James Gainer 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 James Gainer affiliated with any hospitals?

According to CMS data, James Gainer is affiliated with Doctors Hospital.

When was this NPI record last updated?

The NPPES record for James Gainer was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.