Active NPI 1508847021 Individual Practitioner Male Practitioner

Dr. John L Gaines , MD

Internal Medicine • Palatka, FL

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Gaines, MD is a certified Internal Medicine practicing in Palatka, FL. With approximately 49 years of clinical experience since graduating from University Of Alabama School Of Medicine in 1977, Dr. Gaines delivers high-quality medical care to the local community at 530 ZEAGLER DR.

Dr. Gaines maintains professional affiliations with Lake Area Physical Therapy Inc., Express Family Care and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual alcohol misuse screening, 5 to, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

530 Zeagler Dr
Suite A

Palatka, FL 321776855

Telephone 3863288358

Fax 3863250365

Associated Practice Facility / Clinic

🏢 John L Gaines Jr Md Pa Facility NPI 1467524298

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

1977

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Palatka, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +21.5 yrs vs City Avg

City Avg: 27.5 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

23 Specialists

Practicing in Palatka, FL (10650 Statewide)

Telehealth Adoption Rate

21.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

62.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gaines (49 Years) 49 Yrs

Palatka Specialty Average (27.5 Years) 27.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	337	220	$379.30	$123.07
99213 Established patient office or other outpatient visit, typically 15 minutes	208	161	$187.31	$87.82
G0442 Annual alcohol misuse screening, 5 to 15 minutes	64	64	$55.26	$17.72
G0444 Annual depression screening, 5 to 15 minutes	41	41	$54.30	$17.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$292.00	$122.82
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	39	26	$79.98	$24.71
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$432.00	$160.42
81003 Automated urinalysis test	20	15	$7.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,032	269	$170.58	$88.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	62	$241.98	$125.56
90756 Vaccine for influenza for injection into muscle	57	56	$45.00	$31.72
G0008 Administration of influenza virus vaccine	56	56	$42.63	$30.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$298.00	$165.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	605	245	$172.71	$90.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	369	177	$244.89	$126.74
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	102	100	$36.00	$20.07
G0008 Administration of influenza virus vaccine	102	100	$43.00	$28.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	58	$79.00	$55.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	51	18	$43.00	$14.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$296.79	$167.22
93000 Routine ekg using at least 12 leads including interpretation and report	29	28	$38.00	$14.05
81002 Urinalysis, manual test	23	17	$27.09	$3.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$235.00	$128.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	11	$43.00	$22.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	684	267	$118.16	$91.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	550	236	$168.11	$129.70
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	121	121	$25.00	$19.91
G0008 Administration of influenza virus vaccine	121	121	$30.00	$16.59
G0444 Annual depression screening, 5 to 15 minutes	47	47	$25.00	$18.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	16	$30.00	$13.97
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	18	$30.00	$22.18
93000 Routine ekg using at least 12 leads including interpretation and report	22	21	$27.00	$14.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$207.00	$169.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$163.00	$131.83
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$242.00	$141.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	404	235	$79.90	$72.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	272	64	$100.00	$70.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	139	$127.11	$105.37
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	205	192	$25.00	$8.37
G0008 Administration of influenza virus vaccine	148	147	$30.00	$16.56
93793 Anticoagulant management of patient taking warfarin	144	11	$18.65	$11.31
99443 Telephone medical discussion with physician, 21-30 minutes	140	101	$65.00	$61.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	83	61	$250.00	$197.87
90756 Vaccine for influenza for injection into muscle	79	79	$35.00	$27.64
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	76	32	$34.34	$21.86
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	69	69	$25.58	$19.17
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	48	41	$75.00	$50.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$130.07	$108.65
99239 Hospital discharge day management, more than 30 minutes	44	30	$200.00	$103.47
99238 Hospital discharge day management, 30 minutes or less	44	33	$150.00	$70.63
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	32	20	$57.00	$38.89
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	15	$95.00	$89.49
99495 Transitional care management services for problem of at least moderate complexity	18	17	$180.00	$171.68
93922 Ultrasound study of arm and leg arteries	14	14	$152.00	$79.89

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	717	130	$100.00	$73.02
99213 Established patient office or other outpatient visit, typically 15 minutes	481	267	$75.00	$73.25
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	445	396	$25.00	$8.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	293	192	$125.00	$107.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	203	130	$250.00	$203.14
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	155	57	$35.00	$22.11
99239 Hospital discharge day management, more than 30 minutes	127	66	$200.00	$106.92
G0008 Administration of influenza virus vaccine	122	122	$30.00	$16.24
90756 Vaccine for influenza for injection into muscle	122	122	$35.00	$26.13
99238 Hospital discharge day management, 30 minutes or less	116	82	$150.00	$73.03
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	81	63	$75.00	$52.52
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	69	34	$57.00	$40.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$125.00	$114.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	42	29	$125.00	$104.40
99495 Transitional care management services for problem of at least moderate complexity	42	36	$180.00	$161.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	24	$55.00	$44.34
99291 Critical care, first 30-74 minutes	26	11	$350.00	$225.29
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	18	14	$95.00	$91.32
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	18	14	$70.00	$68.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$150.00	$144.32

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	577	121	$100.00	$69.11
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	541	485	$25.00	$8.06
99213 Established patient office or other outpatient visit, typically 15 minutes	481	260	$75.16	$68.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	383	231	$125.00	$100.87
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	176	55	$35.00	$19.92
G0008 Administration of influenza virus vaccine	171	163	$25.00	$19.91
90756 Vaccine for influenza for injection into muscle	148	148	$30.00	$22.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	136	109	$250.00	$192.86
99238 Hospital discharge day management, 30 minutes or less	109	80	$150.00	$69.16
99239 Hospital discharge day management, more than 30 minutes	81	55	$200.00	$101.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	79	49	$125.00	$98.91
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	52	44	$75.00	$50.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$125.00	$108.36
99291 Critical care, first 30-74 minutes	36	21	$350.00	$212.72
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	34	21	$57.00	$38.71
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	32	32	$175.00	$159.97
99495 Transitional care management services for problem of at least moderate complexity	30	23	$180.00	$152.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	22	$55.00	$40.78
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$25.00	$18.88
G0009 Administration of pneumococcal vaccine	20	20	$25.00	$19.91
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	19	19	$50.00	$39.47
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	16	12	$70.00	$65.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$150.00	$136.06
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	14	$25.00	$8.06
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	13	13	$20.00	$7.80
90670 Pneumococcal vaccine for injection into muscle	11	11	$200.00	$194.69

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	649	130	$102.70	$66.91
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	536	486	$25.00	$7.97
99213 Established patient office or other outpatient visit, typically 15 minutes	530	264	$75.00	$67.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	520	273	$125.00	$99.37
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	164	68	$35.00	$18.48
G0008 Administration of influenza virus vaccine	142	140	$25.00	$24.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	138	109	$250.00	$188.14
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	136	136	$25.00	$18.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	133	69	$125.94	$96.63
99238 Hospital discharge day management, 30 minutes or less	133	100	$150.00	$66.39
99239 Hospital discharge day management, more than 30 minutes	113	68	$200.00	$99.61
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	58	47	$75.00	$49.68
G0009 Administration of pneumococcal vaccine	50	49	$25.00	$24.50
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	40	17	$18.75	$2.81
99495 Transitional care management services for problem of at least moderate complexity	38	29	$180.00	$150.62
99291 Critical care, first 30-74 minutes	36	16	$350.00	$211.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$120.10	$103.31
90670 Pneumococcal vaccine for injection into muscle	31	31	$187.42	$181.64
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	27	18	$57.00	$38.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	23	$150.00	$134.31
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$95.79	$88.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$55.00	$40.31
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	15	12	$50.00	$41.86
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	15	15	$25.00	$7.99
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	14	14	$20.00	$7.76
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$166.95	$156.98

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME38167

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

065427200 (FL)

Commercial Insurance / Payer ID Blue Cross/blue Shield

54048 (FL)

Commercial Insurance / Payer ID Railroad Medicare

110158966

Hospital & Practice Group Affiliations

Lake Area Physical Therapy Inc.

Po Box, Melrose, FL 326661099

Lake Area Physical Therapy Inc.

Po Box, Melrose, FL 326661099

Express Family Care

6100 Saint Johns Ave, Palatka, FL 321776859

Phone: 3865304990

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Miguel Limeres , MD

Internal Medicine

NPI 1194717470

Doctor of Medicine (M.D.)

Alfreda Marshall , ARNP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1811965189

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 02, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location July 02, 2008

Registered at 530 ZEAGLER DR, SUITE A, PALATKA, FL 321776855 (Tel: 3863288358)

📍

Updated Business Mailing Address July 02, 2008

Registered at 530 ZEAGLER DR, SUITE A, PALATKA, FL 321776855 (Tel: 3863288358)

👤

Provider Name / Credentials Updated July 02, 2008

Recorded as JOHN GAINES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2008

Internal Medicine (License #ME38167 in FL)

🟢

Initial NPI Registration & Enumeration November 10, 2005

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: 1508847021

Entity Type:

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

Enumeration Date: November 10, 2005

Last Update: July 02, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

530 Zeagler Dr, Suite A

Palatka, FL 321776855

Phone: 3863288358

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.