John Gaines, MD
NPI 1568457224ActiveIndividual· Internal Medicine· Smithfield, RI
Internal Medicine (MD) in Smithfield, Rhode Island, trained at State University of New York at Stony Brook, School of Medicine (class of 1985). Their prescriptions cost Medicare Part D more than their services did: $965,451 for 11,254 claims, against $26,772 paid for services in 2024.
Overview
| NPI | 1568457224 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Sep 19, 2005 |
| Last updated in NPPES | Apr 9, 2024 |
| Certified by provider | Apr 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MD07187 | RI |
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 - Internal Medicine (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 249 |
|---|---|
| Services billed | 655 across 22 procedure codes |
| Paid by Medicare | $26,772 |
Part D prescriptions in 2024
| Prescriptions (claims) | 11,254 · 27,687 30-day fills |
|---|---|
| Patients | 942 |
| Total drug cost | $965,451 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | State University of New York at Stony Brook, School of Medicine |
|---|---|
| Graduation year | 1985 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Coastal Medical Physicians IncWarwick, RI · 225 clinicians
Hospital affiliations
- Our Lady of Fatima HospitalNorth Providence, RI
- Rhode Island HospitalProvidence, RI
- The Miriam HospitalProvidence, RI
Other facilities
- Amedisys Home Health CareHome health agency · Warwick, RI
- Bayada Home Health Care IncHome health agency · Providence, RI
- Elara CaringHome health agency · Warwick, RI
- Nurse on CallHome health agency · Lincoln, RI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine providers in Smithfield
- 1255252680
- 1306338082
- 1689685042
- 1356337745
- 1821559733
- 1104434455
- 1578909289
- 1407134745