What is Evan Gaines's specialty?

Evan Gaines (NPI 1548414725) is a Medicare-billing provider whose primary specialty is Orthopedic Surgery in New City, NY.

Where does Evan Gaines practice?

Evan Gaines practices in New City, NY, based on the location reported in the CMS Medicare provider datasets for NPI 1548414725.

How much does Medicare pay Evan Gaines?

Evan Gaines (NPI 1548414725) received approximately $154K in total Medicare Part B payments, serving 405 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1548414725

Evan GainesMD

PRACTICEIRA BERNSTEINSee all providers at this practice →

Orthopedic SurgeryNew City, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

910

Unique beneficiaries

—

Total services

5,447

Distinct HCPCS

Medicare payment

$106K

Peer benchmark

Total Medicare services vs. 1,320 Orthopedic Surgery providers in NY — top quintile (cohort median 1,129).

PRESCRIBING · PART D · 2024

Total Rx claims

118

Beneficiaries

—

Total drug cost

$1K

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Meloxicam45 claims

Methylprednisolone22 claims

Diclofenac Sodium21 claims

Celecoxib16 claims

Prednisone14 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

27.5

Cost

68.4

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

1.05%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$410

Payment records

By payment type

Food and Beverage$410

Top paying entities

Food and Beverage$410

REFERRAL NETWORK

Where Evan 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). 9 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MONTEFIORE NYACK HOSPITAL	53	131
Michael Swirsky Diagnostic Radiology · White Plains, NY	21	43
Roger Frey Diagnostic Radiology · New City, NY	20	67
Jeffrey Goldman Diagnostic Radiology · Tenafly, NJ	19	52
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	18	39
Steven Klein Diagnostic Radiology · New City, NY	17	39
Kenneth Blumberg Diagnostic Radiology · New City, NY	15	28
Evan Kaminer Diagnostic Radiology · New City, NY	13	37
Doron Ilan Hand Surgery · Ardsley, NY	11	27

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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