DR. RYAN ANDREW GAINES MD
NPI 1295898187
Otolaryngology - Plastic Surgery within the Head & Neck in Denver, CO
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Ryan Gaines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80222
- Reassigned Medicare billing, Colorado enrollment
- 4,283 clinicians in this Medicare group
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 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.
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.
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.
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.
DENVER, CO 80210
DENVER, CO 80210
DENVER, CO 80210
DENVER, CO 80210
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.
Which organization bills Medicare for Ryan Gaines's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Gaines reassigns Medicare benefits to University Physicians, Incorporated (Denver, CO). 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 Ryan Gaines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Gaines accept?
Health plans from Select Health 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 7 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.
# Dr. Ryan Andrew Gaines, MD · NPI 1295898187
Plastic Surgery within the Head & Neck physician in Denver, Colorado. Individual provider, active in the CMS NPPES registry since December 19, 2006.
## Identity
- **NPI:** 1295898187 (Entity type: Individual)
- **Enumerated:** December 19, 2006
- **Primary specialty:** Otolaryngology - Plastic Surgery within the Head & Neck · taxonomy 207YX0007X
- **State license:** 50313 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 2555 S DOWNING ST, SUITE #100, Denver, CO 80210-5855
- **Phone:** (303) 778-5658
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Physicians, Incorporated (NPI 1275045049, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** October 16, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1295898187) · Data from the CMS NPPES public registry.