DR. MARLON GAINES PA
NPI 1629073093
Physician Assistant in Shelbyville, KY

Q: What is Marlon Gaines's NPI number?

The NPI number for Marlon Gaines is 1629073093. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Q: What is Marlon Gaines's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Marlon Gaines was last updated on February 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 14, 2005PECOS Enrolled

727 HOSPITAL DR, SHELBYVILLE, KY 40065(502) 647-4347 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Marlon Gaines Pa NPPES

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

DR. MARLON GAINES PA (NPI 1629073093) is an individual physician assistant in Shelbyville, Kentucky, licensed in Kentucky (PA076) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629073093

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDR. MARLON GAINESCredential: PA

Location Address727 HOSPITAL DRShelbyville, KY 40065-1660

Mailing AddressPo Box 8Louisville, KY 40201-0008 · (800) 476-8646 · Fax (919) 382-3210

Phone(502) 647-4347

Sole ProprietorNo

Enumeration DateJune 14, 2005

Last NPPES UpdateFebruary 27, 2008

✔ NPI 1629073093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in KY · PA076

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

727 HOSPITAL DR, Shelbyville, KY 40065

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Other Identifiers 2

Medicare UPINS94236KY

Medicare ID-Type Unspecified0512324KY · Medicare Group # 5123

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marlon Gaines Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40065 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.