Melissa A. Gaines, MD
NPI 1376557264ActiveIndividual· Internal Medicine· Springfield, MO
Internal Medicine (MD) in Springfield, Missouri, trained at University of Kansas School of Med (Kc/Wich/Sal) (class of 2004). Their prescriptions cost Medicare Part D more than their services did: $1,637,371 for 21,884 claims, against $119,144 paid for services in 2024. Lilly USA, LLC was the largest of 16 companies reporting payments in 2025, $6,531 in all, mostly consulting fees.
Overview
| NPI | 1376557264 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 28, 2006 |
| Last updated in NPPES | May 20, 2021 |
| Certified by provider | May 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 2016014884 | MO |
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | 2015014884 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 443 |
|---|---|
| Services billed | 2,445 across 79 procedure codes |
| Paid by Medicare | $119,144 |
Part D prescriptions in 2024
| Prescriptions (claims) | 21,884 · 41,861 30-day fills |
|---|---|
| Patients | 1,336 |
| Total drug cost | $1,637,371 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | University of Kansas School of Med (Kc/Wich/Sal) |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical groups
- Lester E Cox Medical CentersOzark, MO · 246 clinicians
- Cherry Health Center, LLCSpringfield, MO · 90 clinicians
Hospital affiliations
- Cox Medical Center BransonBranson, MO
- Cox Medical CentersSpringfield, MO
- Cox Monett HospitalMonett, MO
- Mercy Hospital SpringfieldSpringfield, MO
Other facilities
- Amedisys Home Health of MissouriHome health agency · Springfield, MO
- Coxhealth at HomeHome health agency · Springfield, MO
- Phoenix Home Care and HospiceHome health agency · Springfield, MO
- Coxhealth at HomeHospice · Springfield, MO
- Hospice Compassus-Southwest MissouriHospice · Springfield, MO
Industry payments (Open Payments)
- 2025$6,531 · 54 payments from 16 companies
- 2024$8,909 · 63 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $5,573 | 9 |
| Eisai Inc. | $333.23 | 9 |
| Astrazeneca Pharmaceuticals LP | $191.33 | 13 |
| Abbott Laboratories | $94.91 | 4 |
| Novo Nordisk Inc | $62.82 | 4 |
What the 2025 payments were for
- Consulting Fee$5,400 · 3 payments
- Food and Beverage$1,131 · 51 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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