1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Emergency Medicine
  6. NPI Profile

DR. SARAH E. GAINES MD
NPI 1790880169
Emergency Medicine in Providence, RI

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903(401) 444-4000 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2021, Mar 17, 2020 (2 updates tracked since 2020).

About Dr. Sarah E. Gaines Md NPPES

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

DR. SARAH E. GAINES MD (NPI 1790880169) is an individual emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD12928) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2003).

NPPES Registry Identity

NPI1790880169
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. SARAH E. GAINESCredential: MD
Location Address593 EDDY ST, CLAVERICK 2Providence, RI 02903-4923
Mailing Address125 Whipple St Ste 3Providence, RI 02908-3258 · (401) 519-0337 · Fax (401) 427-7795
Phone(401) 444-4000
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2003
Enumeration DateSeptember 13, 2006
Last NPPES UpdateNovember 3, 20212 updates tracked since enumeration
NPPES CertifiedNovember 3, 2021
✔ NPI 1790880169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in RI · MD12928✔ Licensed in OR · MD26853
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.
593 EDDY ST, Providence, RI 02903
Open in Google Maps ↗

Other Identifiers 8

Medicaid110084283AMA
MedicaidSA75982RI
Other09/22/2009MA · Tufts Health Plan
Other001113801RI · Ri Medicare
Other04/15/2009RI · United Healthcare
Other07-01-2009RI · Bcbs
Other08-13-2009RI · Nhpri
Other939025129RI · Uemf Group Ri Medicare

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

Dr. Sarah E. 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 ID9537193495
PECOS Enrollment IDI20061227000341, I20090707000043
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 Reassignment

Medicare enrollment records show Sarah Gaines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Providence Community Health Centers, Inc
0.7 mi
Federally Qualified Health Center (FQHC)
375 ALLENS AVE
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 112 clinicians in this Medicare group
NPI 1053313593 (401) 444-0400

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 02903 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 20

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

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695
FANNY HUANG MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4741

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 Sarah Gaines's NPI number?

The NPI number for Sarah Gaines is 1790880169. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Sarah Gaines located?

Sarah Gaines practices at 593 Eddy St Claverick 2, Providence, RI 02903. The listed phone number is (401) 444-4000.

What is Sarah Gaines's specialty?

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

Is Sarah Gaines enrolled in Medicare?

Yes. Sarah 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.

Which organization bills Medicare for Sarah Gaines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Gaines reassigns Medicare benefits to The Providence Community Health Centers, Inc (Providence, RI). The 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 Sarah Gaines'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 Sarah Gaines was last updated on November 3, 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.