DR. GORDON KIM RAINEY (MD) – Dermatology Physician, NPI 1528046331

DR. GORDON KIM RAINEY (MD) is a healthcare provider. based in Fort sam houston, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 22511 (NE). The NPI Number for DR. GORDON KIM RAINEY (MD) is 1528046331

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. GORDON KIM RAINEY (MD)
NPI
1528046331
Phone
(210) 916-4581
Address
3551 ROGER BROOKE DR
Enumeration Date
3 January 2006
Last Update Date
23 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
2109019353
Graduation Year
2001 (25 years ago)
PAC ID
9638328107
Group Practice PAC ID
0143441279
Professional Enrollment ID
I20210824000175
Address ID
TX782121979SA4118XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

Loading map...

Provider Addresses for DR. GORDON KIM RAINEY (MD)

  • Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States

    FORT SAM HOUSTON, TX 782344504

    Phone: (210) 916-4581

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 225 Open Payments records for all available years, with a total value of $6,849.

Total Amount is formed as General ($6,849) + Research ($0) + Ownership ($0) = $6,849.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($2,470).

Total Amount

$6,849

General + Research + Ownership

Payments

225

Total payment records

General Amount

$6,849

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2021-08-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210824000175IDermatologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths919157$0
99213Established patient office or other outpatient visit, 20-29 minutes311238$0
17000Destruction of precancer skin growth, 1 growth277203$0
17110Destruction of skin growth, 1-14 growths239193$0
99214Established patient office or other outpatient visit, 30-39 minutes178117$0
View full utilization report →

Insurance plans in this area (ZIP 78234)

Loading plans...

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: 0143441279View full group profile
NameSpecialtyState
Nurse PractitionerTX
D E R M A T O L O G YTX
D E R M A T O L O G YMO
Physician AssistantTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for DR. GORDON KIM RAINEY (MD)?
DR. GORDON KIM RAINEY (MD) — NPI 1528046331 — is the standard way to identify this listing.
Does the file indicate DR. GORDON KIM RAINEY (MD) is practicing under active NPI?
Directory data currently reports DR. GORDON KIM RAINEY (MD) as active.
What is DR. GORDON KIM RAINEY (MD)'s primary classification?
Dermatology Physician is the headline specialty for DR. GORDON KIM RAINEY (MD) here. Clinical services aligned with this taxonomy classification.
Where is DR. GORDON KIM RAINEY (MD) based?
DR. GORDON KIM RAINEY (MD) is tied to Fort Sam Houston, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

TRACY LEE BIEDIGER (M.D.)

Dermatology Physician
Top of the Hill RV Resort & Cabins, 12, Green Cedar Road, Nelson City, Boerne, Kendall County, Texas, 78006, United States
NPI: 1639160468

DR. WENDI WOHLTMANN (M.D.)

Dermatology Physician
Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States
NPI: 1548230402

DR. EMILY BETH WONG (M.D.)

Dermatology Physician
1100 WILFORD HALL LOOP
NPI: 1518057009

DR. JAMES RICHARD NEINER (MD)

MOHS-Micrographic Surgery Physician
1100 WILFORD HALL LOOP, BLDG 4554
NPI: 1619170024

DR. MICHAEL STEVEN DIGBY (M.D.)

Dermatology Physician
PO BOX 680256
NPI: 1871758938

DR. NATHANIAL R MILETTA (M.D.)

MOHS-Micrographic Surgery Physician
826 WASHINGTON ST STE 100
NPI: 1790083657

DR. PAUL S HAHN (M.D.)

Dermatology Physician
1100 Wilford Hall Loop Bldg 4554
NPI: 1679815625

DR. DAVID COWART (M.D.)

MOHS-Micrographic Surgery Physician
1061 HARMON AVE
NPI: 1578901047