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JAMES SPENCER GAINEY MD
NPI 1417076373
Family Medicine in Duncan, SC

Active since March 29, 2007PECOS EnrolledAccepts Medicare Assignment
1515 E MAIN ST, DUNCAN, SC 29334(864) 984-0773(864) 984-0783 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 10, 2025, Dec 14, 2021, Mar 9, 2021 and 1 more (4 updates tracked since 2016).

About James Spencer Gainey Md NPPES

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

JAMES SPENCER GAINEY MD (NPI 1417076373) is an individual family medicine provider in Duncan, South Carolina, licensed in South Carolina (27902) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of Medical University Of South Carolina College Of Medicine (2005).

NPPES Registry Identity

NPI1417076373
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES SPENCER GAINEYCredential: MD
Location Address1515 E MAIN STDuncan, SC 29334-9218
Mailing Address3516 Highway 153Greenville, SC 29611-7553 · (864) 729-6626 · Fax (855) 617-4425
Phone(864) 984-0773
Fax(864) 984-0783
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2005
Enumeration DateMarch 29, 2007
Last NPPES UpdateFebruary 10, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1417076373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 27902
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1515 E MAIN ST, Duncan, SC 29334
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Secondary Practice Location 1

Location 13516 Highway 153Greenville, SC 29611-7553 · Phone (864) 729-6626 · Fax (855) 617-4425

Other Identifiers 3

Medicaid279022SC
Medicaid5918957NC
OtherP00980727SC · Railroad Medicare

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

James Spencer Gainey 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 ID7719069376
PECOS Enrollment IDI20080205000148
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 6

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.
54 services44 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.
25 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
23 services23 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services19 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.
15 services15 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29334 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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 James Gainey's NPI number?

The NPI number for James Gainey is 1417076373. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is James Gainey located?

James Gainey practices at 1515 E Main St, Duncan, SC 29334. The listed phone number is (864) 984-0773.

What is James Gainey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Gainey enrolled in Medicare?

Yes. James Gainey 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.

When was this NPI record last updated?

The NPPES record for James Gainey was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.