DR. MELISSA A GAINES MD
NPI 1376557264
Internal Medicine in Springfield, MO

Q: What is Melissa Gaines's NPI number?

The NPI number for Melissa Gaines is 1376557264. It was assigned to this individual provider in the NPPES registry on July 28, 2006. The provider is also known as Dr. Melissa A Warner MD.

Q: What is Melissa Gaines's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Gaines was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment

3525 S NATIONAL AVE STE 207, SPRINGFIELD, MO 65807(417) 269-9220(417) 269-9229 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2021, Sep 18, 2017 (2 updates tracked since 2017).

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About Dr. Melissa A Gaines Md NPPES

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

DR. MELISSA A GAINES MD (NPI 1376557264) is an individual internal medicine provider in Springfield, Missouri, licensed in Missouri (2016014884) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2004).

NPPES Registry Identity

NPI1376557264

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. MELISSA A GAINESCredential: MD

Location Address3525 S NATIONAL AVE STE 207Springfield, MO 65807-7315

Mailing AddressPo Box 802843Kansas City, MO 64180-2843 · (417) 730-6430 · Fax (417) 269-7567

Phone(417) 269-9220

Fax(417) 269-9229

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2004

Enumeration DateJuly 28, 2006

Last NPPES UpdateMay 20, 20212 updates tracked since enumeration

NPPES CertifiedMay 20, 2021

✔ NPI 1376557264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MO · 2016014884

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 2015014884 (MO)

3525 S NATIONAL AVE STE 207, Springfield, MO 65807

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Other Names 1

Former Name (1)Dr. Melissa A Warner Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cox HealthPlans, Oscar Insurance Company.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. Melissa A 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 ID4789689191

PECOS Enrollment IDI20160816002981

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 Reassignments

Medicare enrollment records show Melissa Gaines reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lester E Cox Medical Centers

Same address

Geriatric Medicine

3525 S NATIONAL AVE STE 205A
Springfield, MO 65807

Reassigned Medicare billing, Missouri enrollment
457 clinicians in this Medicare group

NPI 1114953510 (417) 269-9714

Lester E Cox Medical Centers

0.8 mi

Family Medicine

2900 S NATIONAL AVE
Springfield, MO 65804

Reassigned Medicare billing, Missouri enrollment
Also billed through NPI 1356068605 (Missouri)
107 clinicians in this Medicare group

NPI 1174067631 (417) 269-9530

Cox Hps Of The Ozarks, Inc.

2.6 mi

Hospice and Palliative Medicine

2240 W SUNSET ST STE 104
Springfield, MO 65807

Reassigned Medicare billing, Missouri enrollment
8 clinicians in this Medicare group

NPI 1093366999 (417) 269-4663

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 17

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 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.

568 services345 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

389 services259 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.

262 services171 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

83 services21 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

52 services50 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

50 services50 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

46 services40 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

28 services28 patients

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.

24 services21 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

22 services22 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

19 services18 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

18 services18 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

17 services12 patients

Self measured blood pressure measurements 99474

Self-measured blood pressure measurements involve the use of a special device at home to monitor your blood pressure levels. This allows you to keep a regular check on your health and identify any unusual spikes or drops in blood pressure early. It's simple, safe, and can be done at your convenience.

17 services13 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

17 services17 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

13 services13 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260040

Location3801 South National AvenueSpringfield, MO 65807 · Greene County

Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260065

Location1235 E CherokeeSpringfield, MO 65804 · Greene County

Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260094

Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney County

Emergency services Birthing friendly

Cox Monett Hospital

Critical Access Hospitals · Monett, MO

OwnershipVoluntary non-profit - Private

CMS Certification Number261329

Location1000 E Us Highway 60Monett, MO 65708 · Barry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 23

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

14 suppliers54 claims127 services$6.30 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers12 claims15 services$0.98 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604