DR. RYAN ANDREW GAINES MD
NPI 1295898187
Otolaryngology - Plastic Surgery within the Head & Neck in Denver, CO

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2555 S DOWNING ST, SUITE #100, DENVER, CO 80210(303) 778-5658 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ryan Andrew Gaines Md NPPES

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

DR. RYAN ANDREW GAINES MD (NPI 1295898187) is an individual plastic surgery within the head & neck provider in Denver, Colorado, licensed in Colorado (50313) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Loma Linda University School Of Medicine (2005).

NPPES Registry Identity

NPI1295898187
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameDR. RYAN ANDREW GAINESCredential: MD
Location Address2555 S DOWNING ST, SUITE #100Denver, CO 80210-5855
Mailing Address2535 S Downing St, Suite #480Denver, CO 80210-5847 · (303) 778-5658
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2005
Enumeration DateDecember 19, 2006
Last NPPES UpdateOctober 16, 2019
NPI 1295898187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License Licensed in CO · 50313
Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

2555 S DOWNING ST, Denver, CO 80210

Secondary Practice Location 1

Location 112605 E 16th AveAurora, CO 80045-2545 · Phone (720) 848-0000

Accepted Insurance

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. Ryan Andrew Gaines Md 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 ID5597899765
PECOS Enrollment IDI20110922000333
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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
102 services68 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
63 services44 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
22 services18 patients
Removal of lymph nodes, muscle, and tissue of neck 38724
This procedure, known as a neck dissection, involves removing lymph nodes, muscle, and tissue from the neck. It's performed to treat or prevent the spread of disease, often cancer. It's a major surgery, but it can help ensure your health and recovery.
21 services19 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services12 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507
DME-Orthotic Devices · category DF000N
3 suppliers17 claims2,220 services$2.34 avg. paid by Medicare
Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each A7508
DME-Orthotic Devices · category DF000N
2 suppliers14 claims1,545 services$2.67 avg. paid by Medicare
Jaw motion rehabilitation system E1700
DME-Other DME · category DE000N
1 supplier12 claims13 services$26.56 avg. paid by Medicare
Tracheo-esophageal voice prosthesis, patient inserted, any type, each L8507
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$35.30 avg. paid by Medicare
Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 L8512
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$1.70 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 14

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

Internal Medicine (Hematology & Oncology)
2555 S DOWNING ST, SUITE 100
DENVER, CO 80210
Specialist
2555 S DOWNING ST, SUITE 260
DENVER, CO 80210
Surgery
2555 S DOWNING ST, STE. 130
DENVER, CO 80210
Emergency Medicine (Undersea and Hyperbaric Medicine)
2555 S DOWNING ST, SUITE 260
DENVER, CO 80210
Emergency Medicine (Medical Toxicology)
2555 S DOWNING ST, SUITE 260
DENVER, CO 80210
Emergency Medicine
2555 S DOWNING ST, SUITE 260
DENVER, CO 80210
Emergency Medicine (Medical Toxicology)
2555 S DOWNING ST, SUITE 260
DENVER, CO 80210
Emergency Medicine (Medical Toxicology)
2555 S DOWNING ST, SUITE 260
DENVER, CO 80210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295898187, enumerated as an "individual" on December 19, 2006.

The provider is located at 2555 S DOWNING ST SUITE #100 DENVER, CO 80210 and the phone number is (303) 778-5658.

Otolaryngology with taxonomy code 207YX0007X and a focus in Plastic Surgery within the Head & Neck.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.