James Gainer, MD
NPI 1467544874ActiveIndividual· Internal Medicine· Nashville, TN
Internal Medicine (MD) in Nashville, Tennessee, trained at West Virginia University School of Medicine (class of 1990). Their prescriptions cost Medicare Part D more than their services did: $462,131 for 6,140 claims, against $48,624 paid for services in 2024. Medtronic, Inc. reported $9,704 in payments in 2025, mostly speaking and faculty fees.
Overview
| NPI | 1467544874 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Sep 30, 2006 |
| Last updated in NPPES | Dec 17, 2025 |
| Certified by provider | Dec 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MD28182 | TN |
| Internal Medicine, Hypertension Specialist | 207RH0005X | 28182 | TN |
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 (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 247 |
|---|---|
| Services billed | 734 across 22 procedure codes |
| Paid by Medicare | $48,624 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,140 · 14,229 30-day fills |
|---|---|
| Patients | 336 |
| Total drug cost | $462,131 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | West Virginia University School of Medicine |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Vanderbilt University Medical CenterNashville, TN · 3,567 clinicians
Hospital affiliations
- Vanderbilt University Medical CenterNashville, TN
- Vanderbilt Wilson County HospitalLebanon, TN
Other facilities
- Vanderbilt Home Care ServicesHome health agency · Nashville, TN
Industry payments (Open Payments)
- 2025$9,704 · 13 payments from 1 company
- 2024$18,362 · 17 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $9,704 | 13 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$8,438 · 2 payments
- Travel and Lodging$675.55 · 4 payments
- Food and Beverage$590.82 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 709 internal medicine physicians in Nashville · All internal medicine physicians in Tennessee