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DR. SAM GAINES M.D.
NPI 1730115643
Internal Medicine in Normal, IL

Active since June 23, 2006PECOS Enrolled
VIRGINIA & FRANKLIN STREETS, NORMAL, IL 61761(309) 827-4321 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sam Gaines M.d. NPPES

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

DR. SAM GAINES M.D. (NPI 1730115643) is an individual internal medicine provider in Normal, Illinois, licensed in Illinois (036057022) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730115643
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SAM GAINESCredential: M.D.
Location AddressVIRGINIA & FRANKLIN STREETSNormal, IL 61761
Mailing Address509 Colbrook DrSpringfield, IL 62702-3384 · (217) 782-9318 · Fax (217) 793-5267
Phone(309) 827-4321
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1730115643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036057022
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036-057022 (IL)
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 036-057022 (IL)
VIRGINIA & FRANKLIN STREETS, Normal, IL 61761
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Other Identifiers 3

Other05721369IL · Bc/bs
Medicaid036057022IL
Medicaid036057022-1IL

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. Sam Gaines M.d. 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 61761 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 6

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

DR. THOMAS PLIURA M.D.
Emergency Medicine (Emergency Medical Services)
VIRGINIA & FRANKLIN STREETS
NORMAL, IL 61761
McLean County (309) 827-4321
DR. MELVIN EHRHARDT M.D.
Emergency Medicine (Emergency Medical Services)
VIRGINIA & FRANKLIN STREETS
NORMAL, IL 61761
McLean County (309) 827-4321
DR. PARASAKTHI KOLANDAIVELU M.D.
Emergency Medicine (Emergency Medical Services)
VIRGINIA & FRANKLIN STREETS
NORMAL, IL 61761
McLean County (309) 827-4321
DR. JOEL NILLES D.O.
Emergency Medicine (Emergency Medical Services)
VIRGINIA & FRANKLIN STREETS
NORMAL, IL 61761
McLean County (309) 827-4321
DR. THOMAS DILLER M.D.
Emergency Medicine (Emergency Medical Services)
VIRGINIA & FRANKLIN STREETS
NORMAL, IL 61761
McLean County (309) 827-4321
PRAIRIE EMERGENCY GROUP, LTD.
Emergency Medicine (Emergency Medical Services)
VIRGINIA & FRANKLIN STREETS
NORMAL, IL 61761
McLean County (309) 827-4321

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 Sam Gaines's NPI number?

The NPI number for Sam Gaines is 1730115643. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Sam Gaines located?

Sam Gaines practices at Virginia & Franklin Streets, Normal, IL 61761. The listed phone number is (309) 827-4321.

What is Sam Gaines's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sam Gaines enrolled in Medicare?

Yes. Sam Gaines is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sam Gaines was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.