JACQUELINE WARD-GAINES MD
NPI 1881615581
Emergency Medicine in Aurora, CO

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
12505 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Ward-gaines Md NPPES

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

JACQUELINE WARD-GAINES MD (NPI 1881615581) is an individual emergency medicine provider in Aurora, Colorado, licensed in Colorado (44700) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (1997).

NPPES Registry Identity

NPI1881615581
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJACQUELINE WARD-GAINESCredential: MD
Location Address12505 E 16TH AVEAurora, CO 80045-2545
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1997
Enumeration DateJuly 21, 2006
Last NPPES UpdateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
NPI 1881615581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CO · 44700
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.

12505 E 16TH AVE, Aurora, CO 80045

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

Jacqueline Ward-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 ID6507869039
PECOS Enrollment IDI20060822000554
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 2

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.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
40 services40 patients
Initial hospital observation care per day, typically 70 minutes 99220
This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$69.89 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 20

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

Pharmacist
12505 E 16TH AVE, MAIL STOP F757
AURORA, CO 80045
Nurse Practitioner (Adult Health)
12505 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Acute Care)
12505 E 16TH AVE
AURORA, CO 80045
Emergency Medicine
12505 E 16TH AVE
AURORA, CO 80045
Emergency Medicine
12505 E 16TH AVE
AURORA, CO 80045
Physician Assistant (Medical)
12505 E 16TH AVE
AURORA, CO 80045
Pharmacist
12505 E 16TH AVE
AURORA, CO 80045
Physician Assistant (Medical)
12505 E 16TH AVE
AURORA, CO 80045

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 Jacqueline Ward-gaines's NPI number?

The NPI number for Jacqueline Ward-gaines is 1881615581. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Jacqueline Ward-gaines located?

Jacqueline Ward-gaines practices at 12505 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Jacqueline Ward-gaines's specialty?

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

Is Jacqueline Ward-gaines enrolled in Medicare?

Yes. Jacqueline Ward-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 Jacqueline Ward-gaines accept?

Health plans from Medica list Jacqueline Ward-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.

When was this NPI record last updated?

The NPPES record for Jacqueline Ward-gaines was last updated on March 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.