JOHN MATTOX RAINES (D.O.) – Family Medicine Physician, NPI 1679587737
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,756 FAMILY PRACTICE in AL
Provider Addresses for JOHN MATTOX RAINES (D.O.)
190 INDEPENDENT DR STE A
RAINBOW CITY, AL 359063286
Phone: (256) 442-1834
Fax: (877) 991-4819
Type: Location
3731, Rainbow Drive, Morgans Crossroads, Rainbow City, Etowah County, Alabama, 35906, United States
SUITE B
RAINBOW CITY, AL 359066307
Phone: (256) 442-1834
Fax: (877) 991-4819
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $568.
Total Amount is formed as General ($568) + Research ($0) + Ownership ($0) = $568.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Lilly USA, LLC ($132).
Total Amount
$568
General + Research + Ownership
Payments
30
Total payment records
General Amount
$568
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $132 |
| ABBVIE INC. | $115 |
| SHIELD THERAPEUTICS INC | $85 |
| IDORSIA PHARMACEUTICALS US INC | $76 |
| AstraZeneca Pharmaceuticals LP | $52 |
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: 2004-03-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20040309000717 | I | Family Practice | AL | 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 |
|---|---|---|---|---|
| 96372 | Injection of drug or substance under skin or into muscle | 165 | 30 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 145 | 84 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 57 | 37 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 57 | 57 | $0 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 47 | 13 | $0 |
Insurance plans in this area (ZIP 35906)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | AL | 81002 | Urinalysis, manual test | 39 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL |
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