Michael Gene Gaines, MD
NPI 1497778047ActiveIndividual· Family Medicine· Oxford, AL
Family Medicine (MD) in Oxford, Alabama, trained at University of Alabama School of Medicine (class of 1979). Their prescriptions cost Medicare Part D more than their services did: $557,155 for 9,967 claims, against $297,861 paid for services in 2024. Abbvie Inc. was the largest of 2 companies reporting payments in 2025, $39.41 in all, mostly food and beverage.
Overview
| NPI | 1497778047 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 25, 2006 |
| Last updated in NPPES | Jan 15, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 9386 | AL |
| Family Medicine | 207Q00000X | 22762 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (AL); Practitioner - Family Practice (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 904 |
|---|---|
| Services billed | 11,998 across 123 procedure codes |
| Paid by Medicare | $297,861 |
Part D prescriptions in 2024
| Prescriptions (claims) | 9,967 · 20,428 30-day fills |
|---|---|
| Patients | 1,271 |
| Total drug cost | $557,155 |
| Generic share | 91% of claims |
Education and affiliations
| Medical school | University of Alabama School of Medicine |
|---|---|
| Graduation year | 1979 |
| Medicare specialty | Family Practice |
Medical group
- Cheaha Area Regional Emergency SpecialistsAnniston, AL · 7 clinicians
Hospital affiliation
- Northeast Alabama Regional Medical CenterAnniston, AL
Other facilities
- Amedisys Home Health of AnnistonHome health agency · Anniston, AL
- Centerwell Home HealthHome health agency · Oxford, AL
- Centerwell Home HealthHome health agency · Peachtree City, GA
- Central Home Health Care, An Amedisys CompanyHome health agency · Douglasville, GA
- Enhabit Home HealthHome health agency · Hoover, AL
Industry payments (Open Payments)
- 2025$39.41 · 2 payments from 2 companies
- 2024$145.96 · 8 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $20.48 | 1 |
| Exact Sciences Corporation | $18.93 | 1 |
What the 2025 payments were for
- Food and Beverage$39.41 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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