DR. MICHAEL GENE GAINES (MD) – Family Medicine Physician, NPI 1497778047
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,754 FAMILY PRACTICE in AL
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Provider Addresses for DR. MICHAEL GENE GAINES (MD)
Oxford Exchange Blvd, Oxford Exchange, Boiling Spring, Oxford, Calhoun County, Alabama, 36207, United States
OXFORD, AL 362033453
Phone: (256) 835-0076
Fax: (256) 831-4808
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $753.
Total Amount is formed as General ($753) + Research ($0) + Ownership ($0) = $753.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: ABBVIE INC. ($156).
Total Amount
$753
General + Research + Ownership
Payments
43
Total payment records
General Amount
$753
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-02-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050421001450 | I | Family Practice | AL | TBD |
| I20170220000983 | I | Family Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,281 | 723 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 1,220 | 247 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 1,136 | 735 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 1,012 | 477 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 826 | 562 | $0 |
Insurance plans in this area (ZIP 36203)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA |
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