DARNELL CAIN MD
NPI 1679927701
Emergency Medicine in Bronx, NY

Active since April 14, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3411 WAYNE AVE FL 6, BRONX, NY 10467(718) 918-5820 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2023, Jul 15, 2020 (2 updates tracked since 2020).

About Darnell Cain Md NPPES

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

DARNELL CAIN MD (NPI 1679927701) is an individual emergency medicine provider in Bronx, New York, licensed in New York (305679-01) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679927701
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDARNELL CAINCredential: MD
Location Address3411 WAYNE AVE FL 6Bronx, NY 10467-2552
Mailing Address3411 Wayne Ave Fl 6Bronx, NY 10467-2552
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 14, 2016
Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 15, 2020
✔ NPI 1679927701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 305679-01
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3411 WAYNE AVE FL 6, Bronx, NY 10467

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Darnell Cain 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 ID749695401
PECOS Enrollment IDI20250110003283
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

2

Medicare enrollment records show Darnell Cain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 Darnell Cain's NPI number?

The NPI number for Darnell Cain is 1679927701. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Where is Darnell Cain located?

Darnell Cain practices at 3411 Wayne Ave Fl 6, Bronx, NY 10467. The listed phone number is (718) 918-5820.

What is Darnell Cain's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Darnell Cain enrolled in Medicare?

Yes. Darnell Cain 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 Darnell Cain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darnell Cain reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (Bronx, NY) and Southern California Permanente Medical Group (San Diego, CA). 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 Darnell Cain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Darnell Cain was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.