What is Melissa Gaines's specialty?

Melissa Gaines (NPI 1376557264) is a Medicare-billing provider whose primary specialty is Internal Medicine in Springfield, MO.

Where does Melissa Gaines practice?

Melissa Gaines practices in Springfield, MO, based on the location reported in the CMS Medicare provider datasets for NPI 1376557264.

How much does Medicare pay Melissa Gaines?

Melissa Gaines (NPI 1376557264) received approximately $119K in total Medicare Part B payments, serving 443 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1376557264

Melissa GainesMD

Internal MedicineSpringfield, MOI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,422

Unique beneficiaries

—

Total services

2,177

Distinct HCPCS

Medicare payment

$110K

Peer benchmark

Total Medicare services vs. 1,563 Internal Medicine providers in MO — top quintile (cohort median 658).

PRESCRIBING · PART D · 2024

Total Rx claims

20,861

Beneficiaries

—

Total drug cost

$1.4M

Distinct drugs

194

Brand share

21.1%

Top prescribed drugs

Levothyroxine Sodium994 claims

Atorvastatin Calcium831 claims

Amlodipine Besylate613 claims

Lisinopril572 claims

Omeprazole557 claims

QUALITY · MIPS · 2024

Final MIPS score

85.8

Quality

74.4

Cost

78.2

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.45%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$7K

Payment records

By payment type

Consulting Fee$5K

Food and Beverage$1K

Top paying entities

Consulting Fee$5K

Food and Beverage$1K

REFERRAL NETWORK

Where Melissa Gaines's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 20 inbound referrers · 60 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
WESLEY MEDICAL CENTER LLC	190	539
Laboratory Corporation Of America Clinical Laboratory · Dallas, TX	129	584
County Of Sedgwick Ambulance Service Provider · Wichita, KS	66	199
ASCENSION VIA CHRISTI HOSPITALS WICHITA INC.	59	226
Samuel Akidiva Hospitalist · Wichita, KS	50	138
Akash Joshi Diagnostic Radiology · Orange, CA	43	90
Charles Mcguire Diagnostic Radiology · Wichita, KS	35	72
John Lohnes Diagnostic Radiology · Wichita, KS	27	62
LABORATORY CORPORATION OF AMERICA HOLDINGS	26	114
John Knudtson Diagnostic Radiology · Wichita, KS	26	46
DAVIS, DANIEL	24	47
William Salyers Gastroenterology · Wichita, KS	17	55

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
WESLEY MEDICAL CENTER LLC	194	581
Laboratory Corporation Of America Clinical Laboratory · Dallas, TX	96	344
Jennifer Larsen Physician Assistant · Wichita, KS	66	317
Adam Zarchan Diagnostic Radiology · Wichita, KS	65	154
Wassim Shaheen Interventional Cardiology · Wichita, KS	53	156
ASCENSION VIA CHRISTI HOSPITALS WICHITA INC.	47	174
Samuel Akidiva Hospitalist · Wichita, KS	42	129
Tyler Ternes Diagnostic Radiology · Wichita, KS	40	93
AFFILIATED MEDICAL SERVICES LABORATORY, INC.	40	258
FORGE, JOHN	38	179
DAVIS, DANIEL	38	95
Nathan Dobbs Diagnostic Radiology · Wichita, KS	38	115

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events