Active NPI 1609217934 Individual Practitioner Male Practitioner

Dr. Sean Gaines , DO

Internal Medicine - Nephrology • Solon, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sean Gaines, DO is a certified Internal Medicine - Nephrology practicing in Solon, OH. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Gaines delivers high-quality medical care to the local community at 30505 BAINBRIDGE ROAD.

Dr. Gaines is affiliated with Partners In Nephrology Care Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hemodialysis procedure with physician evaluation, initial hospital care with straightforward or low-level 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

30505 Bainbridge Road
Suite 204

Solon, OH 441392287

Telephone 4405691153

Fax 4405691553

Associated Practice Facility / Clinic

🏢 Gaines Renal Group Facility NPI 1710610449

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Solon, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs Matches City Avg

City Avg: 13.0 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

1 Specialists

Practicing in Solon, OH (517 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gaines (13 Years) 13 Yrs

Solon Specialty Average (13.0 Years) 13.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	414	155	$142.00	$74.70
90935 Hemodialysis procedure with physician evaluation	153	60	$144.00	$67.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	109	103	$269.28	$123.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	48	27	$205.00	$112.52
99213 Established patient office or other outpatient visit, typically 15 minutes	36	24	$141.00	$85.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	22	$78.00	$47.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$395.75	$163.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$321.00	$158.34

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	384	131	$142.00	$76.44
90935 Hemodialysis procedure with physician evaluation	118	47	$144.00	$69.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	98	93	$270.00	$125.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	69	33	$205.00	$114.99
99213 Established patient office or other outpatient visit, typically 15 minutes	24	12	$141.00	$85.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	11	$78.00	$48.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$399.00	$167.58

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	519	172	$135.43	$68.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	157	47	$196.31	$99.39
90935 Hemodialysis procedure with physician evaluation	137	63	$233.66	$70.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	98	96	$258.01	$131.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	56	$366.54	$192.14
99213 Established patient office or other outpatient visit, typically 15 minutes	24	17	$132.25	$86.97

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	497	200	$130.00	$70.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	163	51	$190.00	$101.25
90935 Hemodialysis procedure with physician evaluation	137	72	$310.00	$71.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	110	107	$245.00	$133.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	60	$355.00	$196.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$180.00	$126.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	285	116	$871.75	$102.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	225	97	$151.56	$71.52
99239 Hospital discharge day management, more than 30 minutes	82	81	$906.00	$102.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	66	$300.33	$137.46
90935 Hemodialysis procedure with physician evaluation	43	23	$310.00	$73.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$1380.41	$199.72
99217 Hospital observation care on day of discharge	18	18	$618.00	$67.23
99220 Hospital observation care, typically 70 minutes	13	13	$1569.00	$168.08
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	11	11	$450.00	$51.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	202	91	$840.13	$101.61
99239 Hospital discharge day management, more than 30 minutes	49	49	$867.37	$104.18
99220 Hospital observation care, typically 70 minutes	19	19	$1569.00	$181.33
99217 Hospital observation care on day of discharge	18	18	$594.78	$71.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$1611.25	$197.60

Medical Specialties & State Licenses

CMS Verified: 2025-08-13

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License OH 34.011698

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0124793 (OH)

Hospital & Practice Group Affiliations

Partners In Nephrology Care Ltd

18720 Chagrin Blvd, Shaker Heights, OH 441224855

Phone: 2166580458

Secondary Practice Locations

27155 Chardon Rd

Richmond Hts, OH 441431183

Phone: 4405691153

Po Box 1086

Willoughby, OH 440961086

Phone: 2166457242

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Melissa Goldsmith , PhD

Psychologist - Clinical

NPI 1578003315

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location August 13, 2025

Registered at 30505 BAINBRIDGE ROAD, SUITE 204, SOLON, OH 441392287 (Tel: 4405691153)

📍

Updated Business Mailing Address August 13, 2025

Registered at 30505 BAINBRIDGE ROAD, SUITE 204, SOLON, OH 441392287 (Tel: 4405691153)

📍

Updated Business Mailing Address July 24, 2022

Registered at PO BOX 1086, WILLOUGHBY, OH 440961086 (Tel: 2166457242)

📍

Updated Practice Location November 09, 2021

Registered at 27155 CHARDON RD, RICHMOND HTS, OH 441431183 (Tel: 4405691153)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2021

Internal Medicine (License #34.011698 in OH)

📍

Updated Practice Location September 11, 2020

Registered at 3619 PARK EAST DR STE 110, BEACHWOOD, OH 441224312 (Tel: 2168960639)

📍

Updated Business Mailing Address September 11, 2020

Registered at 3619 PARK EAST DR STE 110, BEACHWOOD, OH 441224312 (Tel: 2168960639)

📍

Updated Practice Location November 27, 2018

Registered at 11100 EUCLID AVE, CLEVELAND, OH 44106 (Tel: 2168448060)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2018

Internal Medicine (License #34.011698 in OH)

✅

NPI Profile Active July 15, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 15, 2013

Registered at 667 EASTLAND AVE SE, WARREN, OH 444844503 (Tel: 3308414774)

📍

Updated Business Mailing Address July 15, 2013

Registered at 12066 NATHANIEL LN, TWINSBURG, OH 440872676

👤

Provider Name / Credentials Updated July 15, 2013

Recorded as SEAN GAINES, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration July 15, 2013

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: 1609217934

Entity Type:

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

Enumeration Date: July 15, 2013

Last Update: August 13, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

30505 Bainbridge Road, Suite 204

Solon, OH 441392287

Phone: 4405691153

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.