JUANITA R GAINES MD
NPI 1801826763
Internal Medicine in Cincinnati, OH

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
6045 BRIDGETOWN RD, CINCINNATI, OH 45248(513) 981-4105(513) 347-4620 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Juanita R Gaines Md NPPES

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

JUANITA R GAINES MD (NPI 1801826763) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (35-047464) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with The Jewish Hospital-mercy Health, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1801826763
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJUANITA R GAINESCredential: MD
Location Address6045 BRIDGETOWN RDCincinnati, OH 45248-3049
Mailing Address6045 Bridgetown RdCincinnati, OH 45248-3049 · (513) 981-4105 · Fax (513) 347-4620
Fax(513) 347-4620
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1979
Enumeration DateJuly 4, 2006
Last NPPES UpdateMay 7, 2021
NPPES CertifiedMay 7, 2021
NPI 1801826763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35-047464
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.

6045 BRIDGETOWN RD, Cincinnati, OH 45248

Secondary Practice Location 1

Location 12450 Kipling Ave, Suite 108Cincinnati, OH 45239-6600 · Phone (513) 853-5393 · Fax (513) 853-5394

Other Identifiers 2

Medicaid0495272OH
OtherP00919613OH · Medicare Rr

Accepted Insurance

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

Juanita R 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 ID4284527102
PECOS Enrollment IDI20040204001086
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
310 services146 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
219 services119 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
70 services56 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
33 services28 patients

Hospital Affiliations CMS Care Compare 4

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

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45248 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers18 claims50 services$5.92 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers25 claims28 services$195.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Internal Medicine
6045 BRIDGETOWN RD
CINCINNATI, OH 45248
Internal Medicine
6045 BRIDGETOWN RD
CINCINNATI, OH 45248
Internal Medicine
6045 BRIDGETOWN RD
CINCINNATI, OH 45248
Internal Medicine
6045 BRIDGETOWN RD
CINCINNATI, OH 45248
Orthopaedic Surgery (Sports Medicine)
6045 BRIDGETOWN RD, STE 4
CINCINNATI, OH 45248
Internal Medicine
6045 BRIDGETOWN RD
CINCINNATI, OH 45248
Psychologist
6045 BRIDGETOWN RD
CINCINNATI, OH 45248
Internal Medicine
6045 BRIDGETOWN RD
CINCINNATI, OH 45248

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 Juanita Gaines's NPI number?

The NPI number for Juanita Gaines is 1801826763. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Juanita Gaines located?

Juanita Gaines practices at 6045 Bridgetown Rd, Cincinnati, OH 45248. The listed phone number is (513) 981-4105.

What is Juanita Gaines's specialty?

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

Is Juanita Gaines enrolled in Medicare?

Yes. Juanita 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.

What insurance does Juanita Gaines accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Juanita 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.

Is Juanita Gaines affiliated with any hospitals?

According to CMS data, Juanita Gaines is affiliated with The Jewish Hospital-Mercy Health, Mercy Health - Fairfield Hospital, Christ Hospital and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Juanita Gaines was last updated on May 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.