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DAVID LEMONTE GAINES NP
NPI 1992140800
Nurse Practitioner in New Castle, DE

Active since May 06, 2013PECOS Enrolled
33.26/100
CMS Quality Rating
100 DOVER ST, NEW CASTLE, DE 19720(302) 656-1390 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 6, 2025, Jun 1, 2023 (2 updates tracked since 2023).

About David Lemonte Gaines Np NPPES

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

DAVID LEMONTE GAINES NP (NPI 1992140800) is an individual nurse practitioner in New Castle, Delaware, licensed in Delaware (LG0000678) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1992140800
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDAVID LEMONTE GAINESCredential: NP
Location Address100 DOVER STNew Castle, DE 19720-1307
Mailing Address1340 Middleford RoadSeaford, DE 19973-3665 · (008) 188-6808 · Fax (866) 229-0237
Phone(302) 656-1390
Sole ProprietorNo
Enumeration DateMay 6, 2013
Last NPPES UpdateMarch 6, 20252 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1992140800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in DE · LG0000678
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License L8-0010404 (DE)
100 DOVER ST, New Castle, DE 19720
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Secondary Practice Locations 3

Location 1642 South Queen Street, Ste 102Dover, DE 19904-3505 · Phone (800) 818-8680 · Fax (866) 229-0237
Location 21340 Middleford RoadSeaford, DE 19973-3665 · Phone (008) 188-6808 ext. 310 · Fax (866) 229-0237
Location 329787 JOHN J WILLIAMS HIGHWAY, UNIT #8MILLSBORO, DE 19966-1996 · Phone (800) 818-8680 · Fax (866) 229-0237

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Lemonte Gaines Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show David Gaines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Penn - Medical Group
25 mi
Cardiovascular Disease
501 S 54TH ST
Philadelphia, PA 19143
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1285580472 (800) 789-7366

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19720 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

33.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality8.51
Promoting Interoperability0
Improvement Activities20
Cost60.71

Other Providers at the Same Location NPPES 3

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

DR. LUKE VANOVER DC
Chiropractor
100 DOVER ST
NEW CASTLE, DE 19720
New Castle County (302) 656-1309
PALMER TRADITIONAL PHYSICAL THERAPY LLC
Clinic/Center (Physical Therapy)
100 DOVER ST
NEW CASTLE, DE 19720
New Castle County (302) 650-1390
SKYLAR PALMER
Physical Therapist
100 DOVER ST
NEW CASTLE, DE 19720
New Castle County (406) 731-8930

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 David Gaines's NPI number?

The NPI number for David Gaines is 1992140800. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Where is David Gaines located?

David Gaines practices at 100 Dover St, New Castle, DE 19720. The listed phone number is (302) 656-1390.

What is David Gaines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is David Gaines enrolled in Medicare?

Yes. David Gaines is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Gaines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Gaines reassigns Medicare benefits to University Of Penn - Medical Group (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Gaines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Gaines accept?

Health plans from AmeriHealth Caritas Next list David 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 David Gaines was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.