JUSTIN F GAINOR MD
NPI 1487813010
Internal Medicine - Medical Oncology in Boston, MA

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET, BOSTON, MA 02114(617) 726-2862 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Justin F Gainor Md NPPES

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

JUSTIN F GAINOR MD (NPI 1487813010) is an individual medical oncology provider in Boston, Massachusetts, licensed in Massachusetts (245561) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487813010
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameJUSTIN F GAINORCredential: MD
Location AddressMASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREETBoston, MA 02114
Mailing AddressMassachusetts General Hospital, 55 Fruit StreetBoston, MA 02114 · (617) 724-4000
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2008
Enumeration DateJune 9, 2008
Last NPPES UpdateAugust 11, 2026
NPPES CertifiedAugust 11, 2026
✔ NPI 1487813010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in MA · 245561
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X · License L-236372 (MA)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 245561 (MA)
MASSACHUSETTS GENERAL HOSPITAL, Boston, MA 02114

Secondary Practice Locations 2

Location 175 Francis StBoston, MA 02115-6110 · Phone (617) 724-4000
Location 21153 Centre StJamaica Plain, MA 02130-3446 · Phone (617) 724-4000

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

Justin F Gainor 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 ID547437600
PECOS Enrollment IDI20130925000694
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

3

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

Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 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 8

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 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.
224 services74 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
114 services37 patients
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 services33 patients
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.
49 services31 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.
38 services27 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Internal Medicine
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Internal Medicine (Nephrology)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Thoracic Surgery (Cardiothoracic Vascular Surgery)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Pediatrics
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114
Surgery (Surgical Oncology)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114
Student in an Organized Health Care Education/Training Program
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Orthopaedic Surgery
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114

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 Justin Gainor's NPI number?

The NPI number for Justin Gainor is 1487813010. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Justin Gainor located?

Justin Gainor practices at Massachusetts General Hospital 55 Fruit Street, Boston, MA 02114. The listed phone number is (617) 726-2862.

What is Justin Gainor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Justin Gainor enrolled in Medicare?

Yes. Justin Gainor 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 organizations bill Medicare for Justin Gainor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Gainor reassigns Medicare benefits to 3 organizations: Brigham & Womens Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA) and Massachusetts General Physicians Organization Inc (Boston, MA). Each 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 Justin Gainor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Gainor accept?

Health plans from Taro Health list Justin Gainor 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.

Is Justin Gainor affiliated with any hospitals?

According to CMS data, Justin Gainor is affiliated with North Shore Medical Center -, Massachusetts General Hospital, Newton-Wellesley Hospital, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Justin Gainor was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.