DR. MICHAEL ANDREW GAINER (M.D.) – Orthopaedic Hand Surgery Physician, NPI 1922068303

DR. MICHAEL ANDREW GAINER (M.D.) is a healthcare provider. based in Springfield, Illinois. specializing in HAND SURGERY. They hold the professional credentials M.D.. They hold a License No. 036.103413 (IL). The NPI Number for DR. MICHAEL ANDREW GAINER (M.D.) is 1922068303

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL ANDREW GAINER (M.D.)
NPI
1922068303
Phone
(217) 547-9100
Address
1301 S KOKE MILL RD
Enumeration Date
28 March 2006
Last Update Date
6 August 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2175479100
Graduation Year
1995 (31 years ago)
PAC ID
2769463132
Group Practice PAC ID
0143299628
Professional Enrollment ID
I20250703002891
Address ID
IL627119252SP1301XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

172 HAND SURGERY in IL

Provider Addresses for DR. MICHAEL ANDREW GAINER (M.D.)

  • 1301 S KOKE MILL RD

    SPRINGFIELD, IL 627119252

    Phone: (217) 547-9100

    Fax: (217) 547-9236

    Type: Mailing

  • 450, Laurel Street, Des Moines, Polk County, Iowa, 50314, United States

    STE. A

    DES MOINES, IA 503143045

    Phone: (515) 247-8400

    Fax: (515) 248-8888

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $304.

Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($270).

Total Amount

$304

General + Research + Ownership

Payments

7

Total payment records

General Amount

$304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-07-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050426000403IOrthopedic SurgeryIATBD
I20250703002891IHand SurgeryILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg40473$0
99213Established patient office or other outpatient visit, 20-29 minutes146130$0
73110X-ray of wrist, minimum of 3 views7945$0
20550Injection into tendon or ligament5647$0
99203New patient office or other outpatient visit, 30-44 minutes5555$0
View full utilization report →

Insurance plans in this area (ZIP 62711)

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Provider's Procedures

DR. MICHAEL ANDREW GAINER (M.D.) performs procedures in HAND SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYIA64721Release and/or relocation of median nerve of hand4439

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143299628View full group profile
NameSpecialtyState
N E U R O S U R G E R YIL
-IL
-IL
P O D I A T R YWI
Physician AssistantIL
Orthopedic SurgeryIL
Physical Therapist In Private PracticeIL
Physical Medicine And RehabilitationIL
Nurse PractitionerIL
Orthopedic SurgeryMI

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Frequently asked questions

Does DR. MICHAEL ANDREW GAINER (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MICHAEL ANDREW GAINER (M.D.) uses 1922068303.
Is DR. MICHAEL ANDREW GAINER (M.D.) listed as active for patients and plans?
The listing shows DR. MICHAEL ANDREW GAINER (M.D.) as active in the NPI system.
What healthcare role does DR. MICHAEL ANDREW GAINER (M.D.) hold?
Scheduling teams often label DR. MICHAEL ANDREW GAINER (M.D.) under Orthopaedic Hand Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MICHAEL ANDREW GAINER (M.D.) on a map?
Expect Springfield, Illinois as a primary anchor for DR. MICHAEL ANDREW GAINER (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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