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Active NPI 1730115643 Individual Practitioner Male Practitioner

Dr. Sam Gaines , MD

Internal Medicine • Normal, IL

Professional Overview & Biography Verified Profile Summary

Dr. Sam Gaines, MD is a registered healthcare professional specializing in Internal Medicine in Normal, IL. Practice services are available at VIRGINIA & FRANKLIN STREETS under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

Virginia & Franklin Streets

Normal, IL 61761

Telephone 3098274321
Associated Practice Facility / Clinic
🏢 Prairie Emergency Group, Ltd. Facility NPI 1538184114

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Normal, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.9 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
16 Specialists

Practicing in Normal, IL (7544 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
259 242 $1516.00 $182.75
99284 Emergency department visit with moderate level of medical decision making
48 48 $1026.00 $124.99
99283 Emergency department visit with low level of medical decision making
23 23 $683.00 $73.51

Medical Specialties & State Licenses

CMS Verified: 2021-12-28
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036057022

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.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License IL 036-057022

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine - Emergency Medical Services

NUCC Taxonomy Code: 207PE0004X

State License IL 036-057022

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036057022-1 (IL)
Medicaid State Provider ID
036057022 (IL)
Commercial Insurance / Payer ID Bc/bs
05721369 (IL)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Thomas Pliura , MD

Emergency Medicine - Emergency Medical Services

NPI 1124054010

Doctor of Medicine (M.D.)

Dr. Melvin Ehrhardt , MD

Emergency Medicine - Emergency Medical Services

NPI 1154358380

Doctor of Medicine (M.D.)

Dr. Parasakthi Kolandaivelu , MD

Emergency Medicine - Emergency Medical Services

NPI 1306873765

Doctor of Medicine (M.D.)

Dr. Joel Nilles , DO

Emergency Medicine - Emergency Medical Services

NPI 1376571844

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Diller , MD

Emergency Medicine - Emergency Medical Services

NPI 1487682530

Doctor of Medicine (M.D.)

Brenda Fuss , NP

Nurse Practitioner

NPI 1861689903

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 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2013

Registered at VIRGINIA & FRANKLIN STREETS, NORMAL, IL 61761 (Tel: 3098274321)

📍
Updated Business Mailing Address July 12, 2013

Registered at 509 COLBROOK DR, SPRINGFIELD, IL 627023384 (Tel: 2177829318)

👤
Provider Name / Credentials Updated July 12, 2013

Recorded as SAM GAINES, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2013

Emergency Medicine (License #036-057022 in IL)

🟢
Initial NPI Registration & Enumeration June 23, 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: 1730115643
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2006
Last Update: December 28, 2021
Sole Proprietor: No

Mailing Address

509 Colbrook Dr

Springfield, IL 627023384

Phone: 2177829318

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.