CHARLES J. GAINOR MD
NPI 1881648186
Family Medicine in Winston Salem, NC

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
86.67/100
CMS Quality Rating
5093 UNIVERSITY PKWY, WINSTON SALEM, NC 27106(336) 883-0029 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2024, Jun 25, 2024, Aug 17, 2023 (3 updates tracked since 2023).

About Charles J. Gainor Md NPPES

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

CHARLES J. GAINOR MD (NPI 1881648186) is an individual family medicine provider in Winston Salem, North Carolina, licensed in North Carolina (29268) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Wake Forest University School Of Medicine (1984).

NPPES Registry Identity

NPI1881648186
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES J. GAINORCredential: MD
Location Address5093 UNIVERSITY PKWYWinston Salem, NC 27106-6085
Mailing Address645 N Main StHigh Point, NC 27260-5017 · (336) 883-0029
Sole ProprietorYes
Medical School CMSWake Forest University School Of MedicineGraduated 1984
Enumeration DateMay 20, 2006
Last NPPES UpdateJuly 19, 20243 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
NPI 1881648186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 29268
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.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 29268 (NC)
5093 UNIVERSITY PKWY, Winston Salem, NC 27106

Secondary Practice Locations 2

Location 11103 W D StNorth Wilkesboro, NC 28659-4141 · Phone (336) 883-0029 · Fax (336) 883-0867
Location 21908 Caudle Dr Ste 105Mount Airy, NC 27030-4322 · Phone (336) 883-0029 · Fax (336) 883-0867

Other Identifiers 2

Medicaid8934318NC
Other34324NC · Blue Cross

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

Charles J. Gainor 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 ID4486616646
PECOS Enrollment IDI20041029000787
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 4

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.
241 services75 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.
146 services65 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.
105 services49 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 G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
69 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27106 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

86.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.31
Promoting Interoperability95
Improvement Activities40
Cost73.78

Other Providers at the Same Location NPPES 8

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

Physician Assistant
5093 UNIVERSITY PKWY
WINSTON SALEM, NC 27106
Nurse Practitioner
5093 UNIVERSITY PKWY
WINSTON SALEM, NC 27106
Nurse Practitioner
5093 UNIVERSITY PKWY
WINSTON SALEM, NC 27106
Physician Assistant
5093 UNIVERSITY PKWY
WINSTON SALEM, NC 27106
Pain Medicine (Pain Medicine)
5093 UNIVERSITY PKWY
WINSTON SALEM, NC 27106
Family Medicine
5093 UNIVERSITY PKWY
WINSTON SALEM, NC 27106
Pain Medicine (Pain Medicine)
5093 UNIVERSITY PKWY
WINSTON SALEM, NC 27106
Nurse Practitioner
5093 UNIVERSITY PKWY
WINSTON SALEM, NC 27106

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 Charles Gainor's NPI number?

The NPI number for Charles Gainor is 1881648186. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Charles Gainor located?

Charles Gainor practices at 5093 University Pkwy, Winston Salem, NC 27106. The listed phone number is (336) 883-0029.

What is Charles Gainor's specialty?

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

Is Charles Gainor enrolled in Medicare?

Yes. Charles Gainor 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 Charles Gainor accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Charles Gainor 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 Charles Gainor was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.