DR. RYAN ANDREW GAINES (MD) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1295898187
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
227 OTOLARYNGOLOGY in CO
Provider Addresses for DR. RYAN ANDREW GAINES (MD)
12605 E 16th Ave
Aurora, CO 800452545
Phone: (720) 848-0000
Type: Location
Porter Medical Plaza, 2535, South Downing Street, Denver, Denver County, Colorado, 80210, United States
SUITE #480
DENVER, CO 802105847
Phone: (303) 778-5658
Type: Mailing
2555, South Downing Street, Denver, Denver County, Colorado, 80210, United States
SUITE #100
DENVER, CO 802105855
Phone: (303) 778-5658
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $187.
Total Amount is formed as General ($187) + Research ($0) + Ownership ($0) = $187.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Organogenesis Inc. ($103).
Total Amount
$187
General + Research + Ownership
Payments
5
Total payment records
General Amount
$187
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $103 |
| Celgene Corporation | $66 |
| Olympus America Inc. | $18 |
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: 2011-09-22
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 |
|---|---|---|---|---|
| I20110922000333 | I | Otolaryngology | CO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 93 | 65 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 45 | 33 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 17 | 17 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 80045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Family Practice | CO | |
| Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | CO | |
| Emergency Medicine | CO | |
| Emergency Medicine | CO | |
| - | CO | |
| - | CO | |
| Emergency Medicine | CO | |
| - | CO | |
| - | CO |
Reviews
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