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RICHARD E GAYLES MD
NPI 1861400459
Pain Medicine - Interventional Pain Medicine in Carrollton, GA

Active since August 03, 2006PECOS Enrolled
75/100
CMS Quality Rating
526 BANKHEAD HWY STE 101, CARROLLTON, GA 30117(770) 962-3642(770) 962-3643 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2025, Nov 23, 2022, Sep 28, 2016 and 1 more (4 updates tracked since 2016).

About Richard E Gayles Md NPPES

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

RICHARD E GAYLES MD (NPI 1861400459) is an individual interventional pain medicine provider in Carrollton, Georgia, licensed in Georgia (96608) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and maintains a secondary practice location in Newnan.

NPPES Registry Identity

NPI1861400459
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameRICHARD E GAYLESCredential: MD
Location Address526 BANKHEAD HWY STE 101Carrollton, GA 30117-2463
Mailing Address455 Philip Blvd Ste 140Lawrenceville, GA 30046-8768 · (770) 962-3642 · Fax (770) 962-3643
Phone(770) 962-3642
Fax(770) 962-3643
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1991
Enumeration DateAugust 3, 2006
Last NPPES UpdateDecember 29, 20254 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1861400459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Licenses✔ Licensed in GA · 96608✔ Licensed in FL · ME73164
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
526 BANKHEAD HWY STE 101, Carrollton, GA 30117
Open in Google Maps ↗

Secondary Practice Location 1

Location 139C Oak Hill Ct Ste 101Newnan, GA 30265-2392 · Phone (770) 962-3642 · Fax (770) 962-3643

Other Identifiers 4

Other1074660FL · Caqh
Other41862FL · Bcbs
Other1861400459Npi
Other6754544FL · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard E Gayles Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153360557
PECOS Enrollment IDI20230901003317, I20250902001459
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 7

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 with low level od decision making, if using time, 20 minutes or more 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.
87 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
81 services43 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
63 services39 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
31 services29 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
23 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110011
Location705 Dixie StreetCarrollton, GA 30117 · Carroll County
Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110015
Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims

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

Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible E0849
DME-Other DME · category DE000N
2 suppliers16 claims16 services$44.15 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 4

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

MRS. ANDREA LOGAN BOSSIE MS, RN, CNN, FNP-C
Nurse Practitioner (Family)
526 BANKHEAD HWY STE 101
CARROLLTON, GA 30117
Carroll County (770) 962-3642
ELIANA EGE MD
Physical Medicine & Rehabilitation
526 BANKHEAD HWY STE 101
CARROLLTON, GA 30117
Carroll County (770) 962-3642
GEORGIA PAIN AND WELLNESS CENTER, LLC
Pain Medicine (Interventional Pain Medicine)
526 BANKHEAD HWY STE 101
CARROLLTON, GA 30117
Carroll County (770) 962-3642
SANJEEV KAPURIA MD
Anesthesiology
526 BANKHEAD HWY STE 101
CARROLLTON, GA 30117
Carroll County (770) 962-3642

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 Richard Gayles's NPI number?

The NPI number for Richard Gayles is 1861400459. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Richard Gayles located?

Richard Gayles practices at 526 Bankhead Hwy Ste 101, Carrollton, GA 30117. The listed phone number is (770) 962-3642.

What is Richard Gayles's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Richard Gayles enrolled in Medicare?

Yes. Richard Gayles is registered in the Medicare PECOS enrollment system.

What insurance does Richard Gayles accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Richard Gayles 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 Richard Gayles affiliated with any hospitals?

According to CMS data, Richard Gayles is affiliated with Tanner Medical Center - Carrollton, Tanner Medical Center Villa Rica, Wellstar Paulding Medical Center, Wellstar Cobb Medical Center and Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Gayles was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.