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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: August 09, 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
Phone(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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 7

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.
70 services50 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.
45 services35 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.
23 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 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.
14 services14 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
11 services11 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
Scored through an Alternative Payment Model
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 15

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

PORTERCARE ADVENTIST HEALTH SYSTEM
Internal Medicine (Hematology & Oncology)
2555 S DOWNING ST, SUITE 240
DENVER, CO 80210
Denver County (303) 715-7030
MRS. KATHEY RANEA SPENCE PA PHYSICIAN ASSISTA
Physician Assistant
2555 S DOWNING ST, #130
DENVER, CO 80210
Denver County (303) 777-7112
BLAIR KATELYN WERNICK NP
Nurse Practitioner (Obstetrics & Gynecology)
2555 S DOWNING ST
DENVER, CO 80210
Denver County (303) 316-6677
TOXICOLOGY ASSOCIATES PROF LLC
Specialist
2555 S DOWNING ST, SUITE 260
DENVER, CO 80210
Denver County (303) 765-3800
NADINE GEORGE MIKHAEEL-KAMEL M.D.
Internal Medicine (Hematology & Oncology)
2555 S DOWNING ST, SUITE 100
DENVER, CO 80210
Denver County (303) 282-7878
WILLIAM JOSEPH BOROUGHF D.O.
Emergency Medicine
2555 S DOWNING ST, SUITE 260
DENVER, CO 80210
Denver County (303) 765-3800
WOUND CARE & HYPERBARIC MEDICINE ASSOCIATES, LLC
Emergency Medicine (Undersea and Hyperbaric Medicine)
2555 S DOWNING ST, SUITE 260
DENVER, CO 80210
Denver County (303) 765-3800
SETH D REINER M.D.
Radiology (Radiation Oncology)
2555 S DOWNING ST
DENVER, CO 80210
Denver County (303) 778-5714

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 Ryan Gaines's NPI number?

The NPI number for Ryan Gaines is 1295898187. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Ryan Gaines located?

Ryan Gaines practices at 2555 S Downing St Suite #100, Denver, CO 80210. The listed phone number is (303) 778-5658.

What is Ryan Gaines's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Ryan Gaines enrolled in Medicare?

Yes. Ryan 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.

What insurance does Ryan Gaines accept?

Health plans from Medica list Ryan 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 Ryan Gaines was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.