Active NPI 1164478756 Individual Practitioner Female Practitioner

Gena Plain , PA-C

Physician Assistant • Madison, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gena Plain, PA-C is a certified Physician Assistant practicing in Madison, FL. With approximately 26 years of clinical experience since completing medical education in 2000, Gena Plain delivers high-quality medical care to the local community at 235 SW DADE ST.

Gena Plain maintains professional affiliations with Smd Ems Group Llc, North Meridian Medical Services Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

235 Sw Dade St

Madison, FL 323402363

Telephone 8509738851

Fax 8509738851

Associated Practice Facility / Clinic

🏢 Madison County Hospital Health Systems Inc Facility NPI 1891792917

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Madison, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs Matches City Avg

City Avg: 26.0 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Madison, FL (10376 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Plain (26 Years) 26 Yrs

Madison Specialty Average (26.0 Years) 26.0 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
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	186	54	$68.00	$33.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	96	41	$155.00	$98.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	78	62	$350.00	$144.05
99316 Nursing facility discharge management, more than 30 minutes	55	50	$175.00	$108.61
99306 Initial nursing facility visit, typically 45 minutes per day	54	48	$250.00	$150.80
99239 Hospital discharge day management, more than 30 minutes	51	43	$169.50	$94.56
99284 Emergency department visit with moderate level of medical decision making	17	17	$703.12	$102.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	147	130	$778.57	$99.83
99285 Emergency department visit for life threatening or functioning severity	62	60	$1150.90	$145.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	25	$164.70	$100.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$368.95	$146.40
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	16	14	$56.00	$6.56
99283 Emergency department visit with low level of medical decision making	13	13	$405.00	$59.67
99239 Hospital discharge day management, more than 30 minutes	11	11	$177.95	$96.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	123	116	$780.83	$103.97
99285 Emergency department visit for life threatening or functioning severity	122	112	$1147.26	$151.11
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	80	70	$56.00	$6.85
99283 Emergency department visit with low level of medical decision making	64	57	$417.66	$61.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	61	27	$212.00	$88.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	119	109	$1142.93	$156.89
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	84	73	$56.00	$7.14
99284 Emergency department visit with moderate level of medical decision making	65	62	$778.22	$106.63
99283 Emergency department visit with low level of medical decision making	65	64	$419.95	$62.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	164	150	$1146.30	$153.11
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	109	100	$56.00	$7.34
99284 Emergency department visit with moderate level of medical decision making	89	85	$783.38	$105.74
99283 Emergency department visit with low level of medical decision making	66	63	$416.05	$57.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	196	172	$1142.11	$150.27
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	160	126	$55.81	$7.25
99283 Emergency department visit with low level of medical decision making	104	94	$419.34	$53.74
99284 Emergency department visit with moderate level of medical decision making	100	95	$780.05	$101.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	206	171	$1095.78	$148.23
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	168	117	$53.21	$7.25
99284 Emergency department visit with moderate level of medical decision making	125	117	$747.16	$101.85
99283 Emergency department visit with low level of medical decision making	77	71	$400.43	$53.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	169	152	$1091.92	$149.47
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	157	112	$53.40	$7.21
99284 Emergency department visit with moderate level of medical decision making	129	118	$729.46	$100.75
99283 Emergency department visit with low level of medical decision making	113	100	$398.87	$53.16

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9101319

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

292290800 (FL)

Hospital & Practice Group Affiliations

North Meridian Medical Services Corporation

12449 Chimney Ln, Tallahassee, FL 323120961

Phone: 2292930037

North Meridian Medical Services Corporation

224 Nw Crane Ave, Madison, FL 323401400

Phone: 8509732271

Smd Ems Group Llc

224 Nw Crane Ave, Madison, FL 323401400

Phone: 8509732271

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Daniel Perkins , MD

Family Medicine

NPI 1124087556

Doctor of Medicine (M.D.)

Tiffany Strickland , APRN-C

Nurse Practitioner - Family

NPI 1679251623

APRNC

Rachael Sapp , ARNP

Nurse Practitioner - Family

NPI 1730127044

Advanced Registered Nurse Practitioner

Dr. William Primas , MD

Family Medicine - Adult Medicine

NPI 1760428288

Doctor of Medicine (M.D.)

Michele Richardson , ARNP, FNP-BC

Nurse Practitioner - Family

NPI 1790919348

Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Board Certified)

Martha Reeves , ARNP

Nurse Practitioner - Family

NPI 1801371430

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 21, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2009

Registered at 235 SW DADE ST, MADISON, FL 323402363 (Tel: 8509738851)

📍

Updated Business Mailing Address July 21, 2009

Registered at 235 SW DADE ST, MADISON, FL 323402363 (Tel: 8509738851)

👤

Provider Name / Credentials Updated July 21, 2009

Recorded as GENA PLAIN, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2009

Physician Assistant (License #PA9101319 in FL)

🟢

Initial NPI Registration & Enumeration May 25, 2006

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: 1164478756

Entity Type:

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

Enumeration Date: May 25, 2006

Last Update: July 21, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

235 Sw Dade St

Madison, FL 323402363

Phone: 8509738851

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.