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

Q: 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.

Q: What is David Gaines's specialty?

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

Q: 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 17 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.

Active since May 06, 2013PECOS EnrolledAccepts Medicare Assignment

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: August 09, 2026.

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

On this page

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, maintains 3 additional practice locations, and is a graduate of Other (2012).

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

Medical School CMSOtherGraduated 2012

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 129787 JOHN J WILLIAMS HIGHWAY, UNIT #8MILLSBORO, DE 19966-1996 · Phone (800) 818-8680 · Fax (866) 229-0237

Location 2642 South Queen Street, Ste 102Dover, DE 19904-3505 · Phone (800) 818-8680 · Fax (866) 229-0237

Location 31340 Middleford RoadSeaford, DE 19973-3665 · Phone (008) 188-6808 ext. 310 · Fax (866) 229-0237

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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 and accepts Medicare assignment

David Lemonte Gaines Np 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 ID446485197

PECOS Enrollment IDI20131105000541

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 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

Quality

8.51

Promoting Interoperability

Improvement Activities

Cost

60.71

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Gaines accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers 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 17 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.