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DR. KENNETH L GAYLES M.D.
NPI 1295764454
Internal Medicine - Cardiovascular Disease in Buffalo, NY

Active since July 01, 2006PECOS EnrolledAccepts Medicare Assignment
840 HUMBOLDT PKWY, BUFFALO, NY 14211(716) 895-1100(716) 895-7615 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth L Gayles M.d. NPPES

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

DR. KENNETH L GAYLES M.D. (NPI 1295764454) is an individual cardiovascular disease provider in Buffalo, New York, licensed in New York (124683) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sisters Of Charity Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1973).

NPPES Registry Identity

NPI1295764454
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. KENNETH L GAYLESCredential: M.D.
Location Address840 HUMBOLDT PKWYBuffalo, NY 14211-1217
Mailing Address840 Humboldt PkwyBuffalo, NY 14211-1217 · (716) 895-1100 · Fax (716) 895-7615
Phone(716) 895-1100
Fax(716) 895-7615
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1973
Enumeration DateJuly 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295764454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 124683
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
840 HUMBOLDT PKWY, Buffalo, NY 14211
Open in Google Maps ↗

Other Identifiers 8

Other000507349001NY · Bc/bs Of Wny
Other2100466NY · Independent Health
Medicare ID-Type Unspecified073491NY
Medicaid00608397NY
Other0098639NY · Ghi
Other000010104240NY · Fidelis
Medicare UPINB71577NY
Other00010061001NY · Univera Healthcare

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

Dr. Kenneth L Gayles 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 ID7416954102
PECOS Enrollment IDI20061020000450
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 8

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.
400 services101 patients
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351
This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.
74 services74 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
69 services67 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
62 services58 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.
35 services24 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
27 services15 patients

Hospital Affiliations CMS Care Compare

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

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14211 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Reported Quality Measures

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
76%83 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
7%212 patients1/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
6 suppliers25 claims58 services$5.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims16 services$0.78 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers16 claims16 services$55.32 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 2

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

KENNETH L. GAYLES, M.D., P.C.
Internal Medicine (Cardiovascular Disease)
840 HUMBOLDT PKWY
BUFFALO, NY 14211
Erie County (716) 895-1100
WINSTON GEORGE DOUGLAS MD
Internal Medicine
840 HUMBOLDT PKWY
BUFFALO, NY 14211
Erie County (716) 884-8033

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 Kenneth Gayles's NPI number?

The NPI number for Kenneth Gayles is 1295764454. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Kenneth Gayles located?

Kenneth Gayles practices at 840 Humboldt Pkwy, Buffalo, NY 14211. The listed phone number is (716) 895-1100.

What is Kenneth Gayles's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kenneth Gayles enrolled in Medicare?

Yes. Kenneth Gayles 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.

Is Kenneth Gayles affiliated with any hospitals?

According to CMS data, Kenneth Gayles is affiliated with Sisters Of Charity Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Gayles was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.