MATTHEW M. GAINES D.O.
NPI 1275771453
Psychiatry & Neurology - Psychiatry in Bountiful, UT

Q: What is Matthew Gaines's NPI number?

The NPI number for Matthew Gaines is 1275771453. It was assigned to this individual provider in the NPPES registry on January 27, 2009.

Q: What is Matthew Gaines's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Gaines was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 27, 2009PECOS Enrolled

630 MEDICAL DR, BOUNTIFUL, UT 84010(801) 299-3781(801) 299-2416 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2025, Oct 9, 2019, Oct 2, 2019 (3 updates tracked since 2019).

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About Matthew M. Gaines D.o. NPPES

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

MATTHEW M. GAINES D.O. (NPI 1275771453) is an individual psychiatry provider in Bountiful, Utah, licensed in Utah (7471303-1204) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275771453

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameMATTHEW M. GAINESCredential: D.O.

Location Address630 MEDICAL DRBountiful, UT 84010-4908

Mailing AddressPo Box 742353Atlanta, GA 30374-2353

Phone(801) 299-3781

Fax(801) 299-2416

Sole ProprietorNo

Enumeration DateJanuary 27, 2009

Last NPPES UpdateMarch 11, 20253 updates tracked since enumeration

NPPES CertifiedMarch 11, 2025

✔ NPI 1275771453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in UT · 7471303-1204✔ Licensed in WY · TL1859

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

630 MEDICAL DR, Bountiful, UT 84010

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Regence BlueCross BlueShield of Utah 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)

Matthew M. Gaines D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Matthew Gaines reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Partners For Mental Health LLC

7.1 mi

Psychiatry

240 N EAST PROMONTORY STE 233
Farmington, UT 84025

Reassigned Medicare billing, Utah enrollment
6 clinicians in this Medicare group

NPI 1598572695 (801) 951-2351

University Of Utah Acuity Care Services

8.1 mi

Critical Care Medicine

50 N MEDICAL DR
Salt Lake City, UT 84132

Reassigned Medicare billing, Utah enrollment
338 clinicians in this Medicare group

NPI 1407250541 (801) 581-2121

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

104 services25 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

47 services17 patients

Psychotherapy with evaluation and management visit, 1 hour 90838

Psychotherapy with evaluation and management is a one-hour session where a mental health professional assesses your psychological state and discusses treatment options. This process aims to understand your feelings, thoughts, and behaviors to improve your overall well-being.

26 services24 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services23 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84010 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

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

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.

DR. RYAN NIMER DO

Anesthesiology