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PETER MARSHALL GAINES M.D.
NPI 1912915380
Family Medicine in Modesto, CA

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
401 PARADISE RD, SUITE E, MODESTO, CA 95351(209) 558-4000(209) 558-5036 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peter Marshall Gaines M.d. NPPES

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

PETER MARSHALL GAINES M.D. (NPI 1912915380) is an individual family medicine provider in Modesto, California, licensed in California (G64747) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1912915380
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePETER MARSHALL GAINESCredential: M.D.
Location Address401 PARADISE RD, SUITE EModesto, CA 95351-3104
Mailing Address830 Scenic DrModesto, CA 95350-6131
Phone(209) 558-4000
Fax(209) 558-5036
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 17, 2023
NPPES CertifiedJuly 17, 2023
✔ NPI 1912915380 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 CA · G64747
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 ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License G64747 (CA)
401 PARADISE RD, Modesto, CA 95351
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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

Peter Marshall Gaines M.d. 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 ID9133157910
PECOS Enrollment IDI20080118000523
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95351 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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. CHUN JOEY CHANG M.D.
Emergency Medicine
401 PARADISE RD, #E
MODESTO, CA 95351
Stanislaus County (209) 558-5107
NEGIN TAHER
Family Medicine
401 PARADISE RD, SUITE E
MODESTO, CA 95351
Stanislaus County (209) 558-4000
ANDERS E GRANT MD
Student in an Organized Health Care Education/Training Program
401 PARADISE RD
MODESTO, CA 95351
Stanislaus County (209) 722-4842
STANISLAUS COUNTY
Community/Behavioral Health
401 PARADISE RD
MODESTO, CA 95351
Stanislaus County (209) 525-6225
MR. MARCIO CORREA PA-C
Physician Assistant
401 PARADISE RD
MODESTO, CA 95351
Stanislaus County (209) 722-4842
SUMERRA KHAN D.O.
Family Medicine
401 PARADISE RD, STE E
MODESTO, CA 95351
Stanislaus County (209) 558-4000
STANISLAUS COUNTY
Community/Behavioral Health
401 PARADISE RD
MODESTO, CA 95351
Stanislaus County (209) 558-5142
DR. PETER BRODERICK M.D., M.ED.
Family Medicine
401 PARADISE RD, SUITE E
MODESTO, CA 95351
Stanislaus County (209) 558-4000

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 Peter Gaines's NPI number?

The NPI number for Peter Gaines is 1912915380. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Peter Gaines located?

Peter Gaines practices at 401 Paradise Rd Suite E, Modesto, CA 95351. The listed phone number is (209) 558-4000.

What is Peter Gaines's specialty?

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

Is Peter Gaines enrolled in Medicare?

Yes. Peter 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.

When was this NPI record last updated?

The NPPES record for Peter Gaines was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.