Active NPI 1558620153 Individual Practitioner Male Practitioner

Thomas Christopher Gaines , MSPAC

Physician Assistant • Burlington, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Thomas Gaines, MSPAC is a certified Physician Assistant practicing in Burlington, NC. With approximately 15 years of clinical experience since completing medical education in 2011, Thomas Gaines delivers high-quality medical care to the local community at 1234 HUFFMAN MILL RD.

Thomas Gaines is affiliated with Duke Health Integrated Practice Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid large joint using ultrasound guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1234 Huffman Mill Rd

Burlington, NC 272158700

Telephone 3365381234

Fax 3365382390

Associated Practice Facility / Clinic

🏢 Kernodle Clinic, Inc Facility NPI 1689611022

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Burlington, NC

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +5.5 yrs vs City Avg

City Avg: 9.5 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

88 Specialists

Practicing in Burlington, NC (9374 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gaines (15 Years) 15 Yrs

Burlington Specialty Average (9.5 Years) 9.5 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	348	48	$6.00	$0.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	129	$255.00	$97.71
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	66	44	$416.55	$84.78
20610 Aspiration and/or injection of fluid from large joint	42	30	$238.33	$56.06
73564 X-ray of knee, 4 or more views	37	32	$244.97	$33.88
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	26	16	$1958.00	$677.72
G2211 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	25	23	$61.00	$13.18
73502 X-ray of hip, 2-3 views	25	22	$134.60	$30.69
73030 X-ray of shoulder, minimum of 2 views	23	17	$139.57	$20.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$344.00	$143.66
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	17	12	$18.00	$6.95
99284 Emergency department visit with moderate level of medical decision making	15	15	$463.00	$95.89
27447 Replacement of knee joint, both sides of knee	15	15	$1308.00	$160.20
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$1356.40	$160.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	314	50	$6.00	$1.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	143	$255.00	$102.19
20610 Aspiration and/or injection of fluid from large joint	84	53	$227.50	$56.74
73030 X-ray of shoulder, minimum of 2 views	32	25	$145.41	$27.60
73562 X-ray of knee, 3 views	28	27	$174.86	$32.35
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	28	20	$1958.00	$700.59
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	26	17	$374.77	$83.04
99284 Emergency department visit with moderate level of medical decision making	25	24	$463.00	$96.66
73502 X-ray of hip, 2-3 views	23	20	$157.00	$37.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$344.00	$144.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$390.00	$134.43
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$172.00	$69.07
27447 Replacement of knee joint, both sides of knee	12	11	$1308.00	$164.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	454	72	$6.00	$1.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	144	$255.00	$101.79
20610 Aspiration and/or injection of fluid from large joint	107	73	$217.72	$56.52
99213 Established patient office or other outpatient visit, typically 15 minutes	52	40	$172.00	$73.58
73562 X-ray of knee, 3 views	50	46	$155.52	$31.82
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	35	23	$417.60	$89.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	31	$344.00	$148.35
73030 X-ray of shoulder, minimum of 2 views	29	19	$142.86	$27.40
73502 X-ray of hip, 2-3 views	29	26	$153.14	$37.02
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	25	16	$18.00	$6.41
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	21	11	$1958.00	$763.25
20550 Injection into tendon or ligament	19	14	$205.00	$42.43
99284 Emergency department visit with moderate level of medical decision making	19	19	$463.00	$98.23
27447 Replacement of knee joint, both sides of knee	15	15	$1308.00	$163.70
72080 X-ray of middle and lower spine, 2 views	15	13	$189.00	$28.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$390.00	$137.16
72100 X-ray of lower and sacral spine, 2-3 views	13	11	$148.00	$30.97
73130 X-ray of hand, minimum of 3 views	13	11	$185.23	$25.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	556	96	$6.00	$1.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	120	$255.03	$105.74
20610 Aspiration and/or injection of fluid from large joint	145	96	$225.93	$58.22
99213 Established patient office or other outpatient visit, typically 15 minutes	82	62	$172.11	$75.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	69	$344.00	$149.80
73562 X-ray of knee, 3 views	60	54	$176.67	$32.24
72080 X-ray of middle and lower spine, 2 views	42	32	$186.50	$27.63
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	38	26	$1958.00	$762.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$390.00	$134.91
73030 X-ray of shoulder, minimum of 2 views	30	28	$155.10	$27.22
73502 X-ray of hip, 2-3 views	29	28	$153.14	$35.47
73110 X-ray of wrist, minimum of 3 views	27	12	$142.85	$32.71
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	22	21	$348.00	$79.35
20550 Injection into tendon or ligament	19	18	$205.00	$41.39
72100 X-ray of lower and sacral spine, 2-3 views	18	18	$148.00	$32.06
99284 Emergency department visit with moderate level of medical decision making	17	17	$463.00	$102.69
27447 Replacement of knee joint, both sides of knee	12	11	$1308.00	$157.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	376	66	$6.00	$1.42
20610 Aspiration and/or injection of fluid from large joint	131	80	$230.63	$56.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	106	$255.00	$86.36
99213 Established patient office or other outpatient visit, typically 15 minutes	126	94	$172.00	$61.05
73562 X-ray of knee, 3 views	40	38	$154.80	$30.79
73030 X-ray of shoulder, minimum of 2 views	32	25	$145.41	$25.86
73502 X-ray of hip, 2-3 views	32	32	$155.59	$35.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$390.00	$131.02
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	28	17	$1958.00	$721.66
73110 X-ray of wrist, minimum of 3 views	26	13	$132.50	$30.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$344.00	$115.54
72080 X-ray of middle and lower spine, 2 views	23	18	$184.43	$26.90
99284 Emergency department visit with moderate level of medical decision making	20	20	$463.00	$100.42
72100 X-ray of lower and sacral spine, 2-3 views	20	17	$148.00	$30.67
99283 Emergency department visit with low level of medical decision making	12	12	$244.00	$54.85
20550 Injection into tendon or ligament	12	11	$205.00	$41.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,072	16	$46.00	$10.80
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	476	82	$6.00	$1.58
99213 Established patient office or other outpatient visit, typically 15 minutes	159	117	$172.08	$60.69
20610 Aspiration and/or injection of fluid from large joint	150	89	$228.11	$54.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	87	$255.14	$88.04
73562 X-ray of knee, 3 views	50	46	$155.52	$29.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	34	$344.00	$118.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$390.30	$127.16
72100 X-ray of lower and sacral spine, 2-3 views	32	29	$146.16	$29.00
73502 X-ray of hip, 2-3 views	32	29	$157.00	$33.65
73030 X-ray of shoulder, minimum of 2 views	30	25	$141.00	$23.58
73110 X-ray of wrist, minimum of 3 views	29	17	$136.66	$28.75
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	27	20	$1958.00	$1062.70
27447 Replacement of knee joint, both sides of knee	15	15	$1395.20	$186.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$255.45	$88.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	784	13	$46.00	$11.73
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	462	92	$6.00	$1.78
99213 Established patient office or other outpatient visit, typically 15 minutes	218	151	$161.67	$59.10
20610 Aspiration and/or injection of fluid from large joint	165	110	$212.88	$51.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	96	$241.58	$86.21
73562 X-ray of knee, 3 views	95	78	$149.32	$28.07
72100 X-ray of lower and sacral spine, 2-3 views	37	35	$148.00	$26.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	35	$332.34	$115.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$377.78	$132.01
73502 X-ray of hip, 2-3 views	30	28	$157.00	$32.39
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	29	21	$1958.00	$761.63
73110 X-ray of wrist, minimum of 3 views	18	13	$128.56	$26.74
73030 X-ray of shoulder, minimum of 2 views	17	14	$141.00	$23.47
27447 Replacement of knee joint, both sides of knee	16	14	$1308.00	$177.65
99284 Emergency department visit with moderate level of medical decision making	16	16	$463.00	$96.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$248.94	$87.51
99283 Emergency department visit with low level of medical decision making	14	14	$244.00	$51.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$100.08	$35.52
20550 Injection into tendon or ligament	12	11	$256.25	$46.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,552	24	$46.00	$11.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	538	111	$6.00	$1.78
99213 Established patient office or other outpatient visit, typically 15 minutes	230	155	$153.00	$59.04
20610 Aspiration and/or injection of fluid from large joint	162	114	$222.44	$53.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	98	$227.00	$85.91
73562 X-ray of knee, 3 views	79	68	$144.56	$28.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$367.00	$131.55
99283 Emergency department visit with low level of medical decision making	32	32	$238.06	$51.02
73502 X-ray of hip, 2-3 views	28	28	$153.00	$31.64
99284 Emergency department visit with moderate level of medical decision making	28	28	$449.86	$96.91
73110 X-ray of wrist, minimum of 3 views	27	11	$118.19	$24.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$238.00	$85.29
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$148.00	$27.44
20550 Injection into tendon or ligament	22	18	$251.59	$45.05
73030 X-ray of shoulder, minimum of 2 views	19	15	$141.00	$22.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$320.00	$117.50
27447 Replacement of knee joint, both sides of knee	15	14	$1308.00	$177.81

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 0010-03304

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

8101441 (NC)

Commercial Insurance / Payer ID Medicare Ptan

NC82971569 (NC)

Hospital & Practice Group Affiliations

Duke Health Integrated Practice Inc

1234 Huffman Mill Rd, Burlington, NC 272158700

Phone: 9196848111

Duke Health Integrated Practice Inc

40 Duke Medicine Cir, Durham, NC 277104000

Phone: 9196848111

Practice Associates & Co-Workers

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

40 Associated Practitioners

Debbie Blitch , APRN

Nurse Practitioner

NPI 1013644962

Advanced Practice Registered Nurse

Whitney Meeler

Nurse Practitioner

NPI 1023469848

Jon Wolfe , PA-C

Physician Assistant - Surgical

NPI 1043230998

Physician Assistant (Certified)

Dr. Matthew Troxler , DPM

Podiatrist

NPI 1053368704

Doctor of Podiatric Medicine

Bobbi Wilkins

Physician Assistant - Medical

NPI 1053431692

Ellie Yakubu

Physician Assistant

NPI 1073482212

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 22, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 22, 2013

Registered at 1234 HUFFMAN MILL RD, BURLINGTON, NC 272158700 (Tel: 3365381234)

📍

Updated Business Mailing Address April 22, 2013

Registered at PO BOX 1717, BURLINGTON, NC 272161717 (Tel: 3365381234)

👤

Provider Name / Credentials Updated April 22, 2013

Recorded as THOMAS GAINES, MSPAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2013

Physician Assistant (License #0010-03304 in NC)

🟢

Initial NPI Registration & Enumeration May 16, 2012

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: 1558620153

Entity Type:

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

Enumeration Date: May 16, 2012

Last Update: April 22, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1717

Burlington, NC 272161717

Phone: 3365381234

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.