KEVIN DON GAINES MD
NPI 1740217793
Family Medicine in Gallup, NM

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
73.12/100
CMS Quality Rating
516 E. NIZHONI BLVD, GALLUP, NM 87301(505) 722-1000(505) 726-8740 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Don Gaines Md NPPES

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

KEVIN DON GAINES MD (NPI 1740217793) is an individual family medicine provider in Gallup, New Mexico, licensed in Oklahoma (21745) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of University Of Arkansas College Of Medicine (1999).

NPPES Registry Identity

NPI1740217793
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEVIN DON GAINESCredential: MD
Location Address516 E. NIZHONI BLVDGallup, NM 87301-1337
Mailing AddressPo Box 1337Gallup, NM 87305-1337 · (505) 722-1000 · Fax (505) 726-8740
Fax(505) 726-8740
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1999
Enumeration DateJune 26, 2006
Last NPPES UpdateApril 11, 2008
NPI 1740217793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 21745
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
516 E. NIZHONI BLVD, Gallup, NM 87301

Other Identifiers 9

Medicare ID-Type Unspecified8HBT73TX · Hsz197
Medicare ID-Type Unspecified8HBG15TX · Hsz005
Medicare UPINH24200
Medicare ID-Type Unspecified8HBG13TX · Hsz003
Medicaid758196AZ
Medicare ID-Type Unspecified8HBG12TX · Hsz002
Medicare ID-Type Unspecified8HBG11TX · Hsz001
Medicare ID-Type Unspecified8HBG16TX · Hsz006
Medicaid09101071NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kevin Don Gaines 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 ID9234039173
PECOS Enrollment IDI20040108001187
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.

Hospital Affiliations CMS Care Compare 2

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

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number320061
Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County
Emergency services Birthing friendly

Rehoboth Mckinley Christian Health Care Services

Critical Access Hospitals · Gallup, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321313
Location1901 Red Rock DriveGallup, NM 87301 · Mckinley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

73.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.63
Improvement Activities40
Cost49.43

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.

Registered Nurse (Ambulatory Care)
516 E. NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Dentist
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Registered Nurse (Ambulatory Care)
516 E. NIZHONI BLVD
GALLUP, NM 87301
Pharmacy Technician
516 E. NIZHONI BLVD
GALLUP, NM 87301
Internal Medicine
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Pediatrics
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Neurological Surgery
516 E. NIZHONI BLVD
GALLUP, NM 87301

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 Kevin Gaines's NPI number?

The NPI number for Kevin Gaines is 1740217793. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Kevin Gaines located?

Kevin Gaines practices at 516 E. Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Kevin Gaines's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Gaines enrolled in Medicare?

Yes. Kevin Gaines 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.

Is Kevin Gaines affiliated with any hospitals?

According to CMS data, Kevin Gaines is affiliated with Gallup Indian Medical Center and Rehoboth Mckinley Christian Health Care Services.

When was this NPI record last updated?

The NPPES record for Kevin Gaines was last updated on April 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.