Active NPI 1124405196 Individual Practitioner Female Practitioner

Irene Gaines

Internal Medicine • Newark, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Irene Gaines is a certified Internal Medicine practicing in Newark, DE. With approximately 11 years of clinical experience since graduating from New York University Medical College - Nlg in 2015, Irene Gaines delivers high-quality medical care to the local community at 4755 OGLETOWN STANTON RD STE 5A43.

Irene Gaines is affiliated with Christiana Care Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service);. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4755 Ogletown Stanton Rd Ste 5a43

Newark, DE 19718

Telephone 3026230188

Associated Practice Facility / Clinic

🏢 Christiana Care Health System Facility NPI 1083192298

Medicare Profile & Education

Medical School

New York University Medical College - Nlg

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Newark, DE

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -5.6 yrs vs City Avg

City Avg: 16.6 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

243 Specialists

Practicing in Newark, DE (625 Statewide)

Telehealth Adoption Rate

11.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gaines (11 Years) 11 Yrs

Newark Specialty Average (16.6 Years) 16.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	210	208	$557.56	$167.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	142	140	$381.60	$126.82
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	14	12	$184.44	$29.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	285	284	$539.95	$173.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	85	83	$371.69	$130.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	248	246	$464.63	$200.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	98	98	$318.86	$136.61
99220 Hospital observation care, typically 70 minutes	28	28	$434.14	$180.48
99219 Hospital observation care, typically 50 minutes	22	22	$319.09	$133.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	234	230	$437.00	$203.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	141	141	$297.00	$138.51
99220 Hospital observation care, typically 70 minutes	33	33	$399.00	$185.10
99219 Hospital observation care, typically 50 minutes	27	27	$290.00	$132.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	172	169	$297.81	$143.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	140	140	$437.00	$209.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	31	$155.00	$74.33
99219 Hospital observation care, typically 50 minutes	46	46	$290.00	$138.64
99221 Initial hospital inpatient care per day, typically 30 minutes	39	39	$220.33	$105.46
99220 Hospital observation care, typically 70 minutes	28	28	$399.00	$191.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	243	135	$155.20	$73.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	166	164	$437.00	$205.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	53	40	$223.00	$105.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	32	$84.00	$40.00
99238 Hospital discharge day management, 30 minutes or less	52	52	$156.00	$74.21
99220 Hospital observation care, typically 70 minutes	47	47	$399.00	$185.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$297.00	$139.12
99219 Hospital observation care, typically 50 minutes	17	17	$290.00	$137.97
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$245.00	$103.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$297.00	$139.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	27	$155.00	$74.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$437.00	$206.58
99219 Hospital observation care, typically 50 minutes	12	12	$290.00	$138.54

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License DE C1-0012842

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Christiana Care Health Services Inc

4755 Ogletown Stanton Rd, Newark, DE 197182200

Phone: 3026230188

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Shruti Puri , MD

Internal Medicine - Infectious Disease

NPI 1003234451

Doctor of Medicine (M.D.)

Dr. Luviza Santos , MD

Internal Medicine

NPI 1003869827

Doctor of Medicine (M.D.)

Dr. Lucinda Li , DO

Internal Medicine

NPI 1013406016

Doctor of Osteopathic Medicine (D.O.)

Dr. Brieanna Bivens , MD

Hospitalist

NPI 1013413541

Doctor of Medicine (M.D.)

Katie Rubin , FNP

Nurse Practitioner

NPI 1013433978

Family Nurse Practitioner

Christos Arhontakis , PA-C

Physician Assistant

NPI 1013494855

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2018

Internal Medicine (License #C1-0012842 in DE)

📍

Updated Practice Location July 19, 2018

Registered at 4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718 (Tel: 3026230188)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2018

Internal Medicine (License #C1-0000000 in DE)

✅

NPI Profile Active April 29, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 29, 2015

Registered at 1250 E MARSHALL ST, BOX 980509, RICHMOND, VA 232985051 (Tel: 8048288786)

📍

Updated Business Mailing Address April 29, 2015

Registered at 1250 E MARSHALL ST, BOX 980509, RICHMOND, VA 232985051 (Tel: 8048288786)

👤

Provider Name / Credentials Updated April 29, 2015

Recorded as IRENE GAINES

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 29, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124405196

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 29, 2015

Last Update: September 12, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1250 E Marshall St, Box 980509

Richmond, VA 232985051

Phone: 8048288786

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.