Thomas Gaines, MSPAC
NPI 1558620153 · Physician Assistant · Burlington, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Gaines, MSPAC is a Physician Assistant provider in Burlington, NC (NPI 1558620153).
Provider details
- NPI number
- 1558620153
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSPAC
- Sex
- Male
- Sole proprietor
- No
- License
- 0010-03304 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
490 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 210 | $98 |
| Aspiration And/Or Injection of Fluid Large Joint Using Ultrasound Guidance20611 | 66 | $85 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 42 | $56 |
| X-Ray of Knee, 4 Or More Views73564 | 37 | $34 |
| X-Ray of Hip, 2-3 Views73502 | 25 | $31 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tramadol Hcl | 201 | 128 |
| Celecoxib | 179 | 125 |
| Oxycodone Hcl | 133 | 89 |
| Ondansetron Hcl | 104 | 103 |
| Prednisone | 97 | 92 |
| Enoxaparin Sodium | 97 | 96 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 94 | 48 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$159 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-05-16
- Last updated
- 2013-04-22
Frequently asked questions
- What is Thomas Gaines's NPI number?
- Thomas Gaines's National Provider Identifier (NPI) is 1558620153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Gaines's specialty?
- Thomas Gaines is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Thomas Gaines located?
- Thomas Gaines's practice location on file with NPPES is 1234 Huffman Mill Rd, Burlington, NC 27215-8700.
- What is Thomas Gaines's phone number?
- The practice phone number listed in the NPPES registry for Thomas Gaines is (336) 538-1234.
- Does Thomas Gaines accept Medicare?
- Thomas Gaines is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Gaines's NPI active?
- Yes — Thomas Gaines's NPI (1558620153) is active in the NPPES registry as of the last update on 2013-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.