What is Richard Gaines's specialty?

Richard Gaines (NPI 1952355497) is a Medicare-billing provider whose primary specialty is Orthopedic Surgery in Daytona Beach, FL.

Where does Richard Gaines practice?

Richard Gaines practices in Daytona Beach, FL, based on the location reported in the CMS Medicare provider datasets for NPI 1952355497.

How much does Medicare pay Richard Gaines?

Richard Gaines (NPI 1952355497) received approximately $189K in total Medicare Part B payments, serving 537 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1952355497

Richard GainesMD

PRACTICEORTHOPAEDIC CLINIC OF DAYTONA BEACH PASee all providers at this practice →

Orthopedic SurgeryDaytona Beach, FLI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,589

Unique beneficiaries

—

Total services

4,829

Distinct HCPCS

Medicare payment

$150K

Peer benchmark

Total Medicare services vs. 1,417 Orthopedic Surgery providers in FL — above median (cohort median 1,874).

PRESCRIBING · PART D · 2024

Total Rx claims

806

Beneficiaries

—

Total drug cost

$7K

Distinct drugs

Brand share

21.1%

Top prescribed drugs

Meloxicam198 claims

Ibuprofen126 claims

Hydrocodone/Acetaminophen100 claims

Diclofenac Sodium72 claims

Oxycodone Hcl/Acetaminophen70 claims

QUALITY · MIPS · 2024

Final MIPS score

87.6

Quality

77.5

Cost

73.6

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.53%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$1K

Payment records

By payment type

Travel and Lodging$982

Food and Beverage$265

Top paying entities

Travel and Lodging$982

Food and Beverage$265

REFERRAL NETWORK

Where Richard 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). 36 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Jeffrey Martin Orthopedic Surgery · Daytona Beach, FL	176	796
MEMORIAL HEALTH SYSTEMS INC	144	515
James Bryan Orthopedic Surgery · Daytona Beach, FL	113	482
Brian Hatten Orthopedic Surgery · Daytona Beach, FL	83	309
Todd Mccall Orthopedic Surgery · Daytona Beach, FL	76	220
Mark Gillespy Orthopedic Surgery · Daytona Beach, FL	65	222
Laboratory Corporation Of America Clinical Laboratory · Tampa, FL	59	140
County Of Volusia Ambulance Service Provider · Holly Hill, FL	48	136
BERT FISH MEDICAL CENTER INC	44	119
Stephen Sevigny Diagnostic Radiology · Gainesville, GA	31	51
Timothy Jones Diagnostic Radiology · Daytona Beach, FL	30	53
John Agles Diagnostic Radiology · Daytona Beach, FL	23	41

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events