James W. Gainer, M.D.
NPI 1740272475ActiveIndividual· Family Medicine· Elkins, WV
Family Medicine (M.D.) in Elkins, West Virginia, trained at West Virginia University School of Medicine (class of 1992). Their prescriptions cost Medicare Part D more than their services did: $1,197,446 for 8,356 claims, against $46,461 paid for services in 2024. Heartflow, Inc. reported $19.98 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1740272475 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 18, 2005 |
| Last updated in NPPES | Oct 12, 2021 |
| Certified by provider | Oct 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 17867 | WV |
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 - Family Practice (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 223 |
|---|---|
| Services billed | 971 across 20 procedure codes |
| Paid by Medicare | $46,461 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,356 · 18,521 30-day fills |
|---|---|
| Patients | 451 |
| Total drug cost | $1,197,446 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | West Virginia University School of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Family Practice |
Medical group
- Davis Memorial HospitalElkins, WV · 74 clinicians
Hospital affiliations
- Davis Medical CenterElkins, WV
- St Joseph's Hospital of Buckhannon, IncBuckhannon, WV
- United Hospital Center, IncBridgeport, WV
Other facilities
- Wvuhs Home CareHome health agency · Clarksburg, WV
Industry payments (Open Payments)
- 2025$19.98 · 1 payment from 1 company
- 2024$32.20 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Heartflow, Inc. | $19.98 | 1 |
What the 2025 payments were for
- Food and Beverage$19.98 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 23 family medicine physicians in Elkins · All family medicine physicians in West Virginia