ROY E GAINES JR. D.D.S., M.D.
NPI 1679675292
Dentist - Oral and Maxillofacial Surgery in Raleigh, NC

Q: What is Roy Gaines's NPI number?

The NPI number for Roy Gaines is 1679675292. It was assigned to this individual provider in the NPPES registry on September 3, 2006.

Q: What is Roy Gaines's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Roy Gaines enrolled in Medicare?

No. Roy Gaines has opted out of Medicare through December 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Roy Gaines was last updated on March 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 September 03, 2006Opted out of Medicare · through Dec 26, 2027

4201 LAKE BOONE TRL, SUITE 002, RALEIGH, NC 27607(919) 787-3949(919) 787-7634 Get Directions Write a Review

NPPES record last updated: March 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Roy E Gaines Jr. D.d.s., M.d. NPPES

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

ROY E GAINES JR. D.D.S., M.D. (NPI 1679675292) is an individual oral and maxillofacial surgery provider in Raleigh, North Carolina, licensed in North Carolina (5589) and active in the NPI registry since September 2006. He has opted out of Medicare through December 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679675292

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameROY E GAINES JR.Credential: D.D.S., M.D.

Location Address4201 LAKE BOONE TRL, SUITE 002Raleigh, NC 27607-7512

Mailing Address4201 Lake Boone Trl, Suite 002Raleigh, NC 27607-7512 · (919) 787-3949 · Fax (919) 787-7634

Phone(919) 787-3949

Fax(919) 787-7634

Sole ProprietorYes

Enumeration DateSeptember 3, 2006

Last NPPES UpdateMarch 1, 2011

✔ NPI 1679675292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in NC · 5589

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

4201 LAKE BOONE TRL, Raleigh, NC 27607

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Other Identifiers 3

Medicare UPINF80034NC

Medicaid8993014NC

Medicare ID-Type Unspecified2428451NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Roy E Gaines Jr. D.d.s., M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 26, 2013 through December 26, 2027.

Opt-Out Effective DateDecember 26, 2013

Opt-Out In Effect ThroughDecember 26, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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.

BIO-LIFECYCLE MEDICAL CENTERS, PLLC

Preventive Medicine (Public Health & General Preventive Medicine)

4201 LAKE BOONE TRL, STE 005
RALEIGH, NC 27607

Wake County (919) 851-9100

ANAM CARA WELLNESS PLLC

Psychiatry & Neurology (Psychiatry)

4201 LAKE BOONE TRL
RALEIGH, NC 27607

Wake County (984) 230-2416

GREGORY J WILMOTH M.D.

Dermatology (MOHS-Micrographic Surgery)

4201 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607

Wake County (919) 782-2152

LINDSEY MCADAMS-PERRY LCSW

Social Worker (Clinical)

4201 LAKE BOONE TRL, STE 4
RALEIGH, NC 27607

Wake County (919) 781-4434

DR. ESTELLE CATHERINE TSALIK PT, DPT

Physical Therapist

4201 LAKE BOONE TRL, SUITE 4
RALEIGH, NC 27607

Wake County (919) 781-4434

MRS. JENNIFER H SPANGLER MS, CCC-SLP

Speech-Language Pathologist

4201 LAKE BOONE TRL, SUITE 4
RALEIGH, NC 27607

Wake County (919) 781-4434

DR. MARTHA FIELDS SIMPSON PHD

Psychologist

4201 LAKE BOONE TRL, SUITE 201
RALEIGH, NC 27607

Wake County (919) 785-0384

MISS BRITTANY D NORRIS M.S.

Speech-Language Pathologist

4201 LAKE BOONE TRL, SUITE 4
RALEIGH, NC 27607

Wake County (919) 781-4434

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 Roy Gaines's NPI number?

The NPI number for Roy Gaines is 1679675292. It was assigned to this individual provider in the NPPES registry on September 3, 2006.

Where is Roy Gaines located?

Roy Gaines practices at 4201 Lake Boone Trl Suite 002, Raleigh, NC 27607. The listed phone number is (919) 787-3949.

What is Roy Gaines's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Roy Gaines enrolled in Medicare?

No. Roy Gaines has opted out of Medicare through December 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Roy Gaines accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Roy Gaines 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.

When was this NPI record last updated?

The NPPES record for Roy Gaines was last updated on March 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.