THOMAS EDWARD GAINES MD
NPI 1447243068
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Knoxville, TN

Active since August 30, 2005PECOS Enrolled
95.69/100
CMS Quality Rating
1940 ALCOA HWY, STE E-180, KNOXVILLE, TN 37920(865) 305-6955(865) 637-5216 Get Directions Write a Review

NPPES record last updated: March 5, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Thomas Edward Gaines Md NPPES

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

THOMAS EDWARD GAINES MD (NPI 1447243068) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Knoxville, Tennessee, licensed in Tennessee (021056) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447243068
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameTHOMAS EDWARD GAINESCredential: MD
Location Address1940 ALCOA HWY, STE E-180Knoxville, TN 37920-2244
Mailing AddressPo Box 440547Nashville, TN 37244-0547 · (865) 670-6199 · Fax (865) 670-6188
Fax(865) 637-5216
Sole ProprietorNo
Enumeration DateAugust 30, 2005
Last NPPES UpdateMarch 5, 2010
NPI 1447243068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in TN · 021056
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1940 ALCOA HWY, Knoxville, TN 37920

Other Identifiers 2

Medicare UPINE81576
Medicare PIN37143273TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Thomas Edward Gaines Md 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
41 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality85.28
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Cardiovascular Disease)
1940 ALCOA HWY, SUITE E-310
KNOXVILLE, TN 37920
Physician Assistant (Surgical)
1940 ALCOA HWY, STE E 180
KNOXVILLE, TN 37920
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1940 ALCOA HWY, SUITE E310
KNOXVILLE, TN 37920
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1940 ALCOA HWY, SUITE E-180
KNOXVILLE, TN 37920
Internal Medicine (Pulmonary Disease)
1940 ALCOA HWY, SUITE E210
KNOXVILLE, TN 37920
Internal Medicine (Cardiovascular Disease)
1940 ALCOA HWY, SUITE E310
KNOXVILLE, TN 37920
Surgery (Vascular Surgery)
1940 ALCOA HWY, SUITE 120
KNOXVILLE, TN 37920
Surgery (Vascular Surgery)
1940 ALCOA HWY, SUITE 120 HEART LUNG VASCULAR INSTIUTE
KNOXVILLE, TN 37920

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447243068, enumerated as an "individual" on August 30, 2005.

The provider is located at 1940 ALCOA HWY STE E-180 KNOXVILLE, TN 37920 and the phone number is (865) 305-6955.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to verify.