SEAN GAINES (DO) – Internal Medicine Physician, NPI 1609217934
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
547 NEPHROLOGY in OH
Provider Addresses for SEAN GAINES (DO)
27155 Chardon Rd
Richmond Hts, OH 441431183
Phone: (440) 569-1153
Type: Location
PO Box 1086
Willoughby, OH 440961086
Phone: (216) 645-7242
Type: Location
3619 PARK EAST DR STE 110
BEACHWOOD, OH 441224312
Phone: (216) 896-0639
Type: Mailing
30505 BAINBRIDGE ROAD
SUITE 204
SOLON, OH 441392287
Phone: (440) 569-1153
Fax: (440) 569-1553
Type: Mailing
PO BOX 1086
WILLOUGHBY, OH 440961086
Phone: (216) 645-7242
Fax: (440) 975-8278
Type: Mailing
27155 CHARDON RD
RICHMOND HTS, OH 441431183
Phone: (440) 569-1153
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $247.
Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Horizon Therapeutics plc ($127).
Total Amount
$247
General + Research + Ownership
Payments
20
Total payment records
General Amount
$247
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 |
|---|---|
| Horizon Therapeutics plc | $127 |
| CALLIDITAS THERAPEUTICS US INC. | $54 |
| Amgen Inc. | $35 |
| Renalytix AI, Inc. | $16 |
| AstraZeneca Pharmaceuticals LP | $15 |
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: 2016-02-15
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 |
|---|---|---|---|---|
| I20160215002699 | I | Nephrology | OH | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 384 | 131 | $0 |
| 90935 | Hemodialysis procedure with physician evaluation | 118 | 47 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 98 | 93 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 69 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 12 | $0 |
Insurance plans in this area (ZIP 44143)
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