DR. SIMONE DENISE GAINEY DDS
NPI 1316354806
Dentist - Pediatric Dentistry in Houston, TX

Active since July 16, 2014PECOS Enrolled
190 HEIGHTS BLVD, HOUSTON, TX 77007(713) 529-3260 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Simone Denise Gainey Dds NPPES

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

DR. SIMONE DENISE GAINEY DDS (NPI 1316354806) is an individual pediatric dentistry provider in Houston, Texas, licensed in Texas (29541) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316354806
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. SIMONE DENISE GAINEYCredential: DDS
Location Address190 HEIGHTS BLVDHouston, TX 77007-3729
Mailing Address174 Yale StHouston, TX 77007-3745 · (832) 767-2210
Sole ProprietorNo
Enumeration DateJuly 16, 2014
Last NPPES UpdateJanuary 4, 2022
NPPES CertifiedJanuary 4, 2022
✔ NPI 1316354806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 29541
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 29541 (TX)
190 HEIGHTS BLVD, Houston, TX 77007

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Simone Denise Gainey Dds 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 Reassignment

Medicare enrollment records show Simone Gainey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1111 W. ADOUE STREET
Alvin, TX 77511
  • Reassigned Medicare billing, Texas enrollment
  • 191 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77007 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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 13

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

Optometrist
190 HEIGHTS BLVD
HOUSTON, TX 77007
Dentist (General Practice)
190 HEIGHTS BLVD
HOUSTON, TX 77007
Community Health Worker
190 HEIGHTS BLVD
HOUSTON, TX 77007
Community Health Worker
190 HEIGHTS BLVD
HOUSTON, TX 77007
Family Medicine
190 HEIGHTS BLVD
HOUSTON, TX 77007
Clinic/Center
190 HEIGHTS BLVD
HOUSTON, TX 77007
Emergency Medicine
190 HEIGHTS BLVD
HOUSTON, TX 77007
Optometrist
190 HEIGHTS BLVD
HOUSTON, TX 77007

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 Simone Gainey's NPI number?

The NPI number for Simone Gainey is 1316354806. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Where is Simone Gainey located?

Simone Gainey practices at 190 Heights Blvd, Houston, TX 77007. The listed phone number is (713) 529-3260.

What is Simone Gainey's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Simone Gainey enrolled in Medicare?

Yes. Simone Gainey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Simone Gainey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simone Gainey reassigns Medicare benefits to Stephen F. Austin Community Health Center, Inc. (Alvin, TX). 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 Simone Gainey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simone Gainey accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 27 other insurers list Simone Gainey 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 Simone Gainey was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.