2026 NPPES data Psychiatry Physician NPI 1649236753 DO
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CHARLES GAINES, DO

Psychiatry Physician in JOHNSON CITY, Tennessee. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
63
Medicare Part D claims · 27 beneficiaries · Psychiatry Physician avg: 1K
MIPS score
97.4009/100
▲ 14 pts above national avg 83.1 · [object Object]

What the federal data shows

CHARLES GAINES, DO reported a CMS MIPS final score of 97.4009/100 — above the 83.1 national average — and filed 63 Medicare Part D claims in 2023.

97.4009/100
MIPS score · +14 vs avg
63
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

CHARLES GAINES, DO's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

97 Top 15% higher than 85% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

CHARLES GAINES, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about CHARLES GAINES, DO?

High performer (top quartile)

NPI registry status

Active

Issued 04/26/2006

NPI 1649236753

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

63 94% vs specialty avg

2023 prescription claims

Specialty avg: 1,038

MIPS final score

97.4009/100 14.300899999999999% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Psychiatry Physician compares to other specialties among Tennessee providers

Tennessee providers

Psychiatry Physician share within Tennessee

1. Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatry Physician share within Tennessee

Medicare quality performance — MIPS

CHARLES GAINES, DO's 2023 MIPS final score plotted against the Psychiatry Physician national average

High performer (top quartile)
MIPS Final Score
97.4009/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatry Physician) — 97.4009/100 vs national avg 83.1

0%100%National avg83%97.4%
MIPS final score (Psychiatry Physician) — 97.4009/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CHARLES GAINES, DO appears in the CMS NPPES registry as a Psychiatry Physician provider holding DO credentials at 403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN, 37604, with a listed phone of (423) 431-7013. NPI 1649236753 was issued on 04/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAINES most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 63 prescription claims written by this provider, covering 27 Medicare beneficiaries and totaling roughly $766 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.4009/100 for the 2023 performance year (Quality 76.5564), compared with the national average of 83.1.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Provider Details

NPI 1649236753
Specialty Psychiatry Physician
Credentials DO
Gender Male
NPI Issued 04/26/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

97.4009
Final Score
Avg: 83.1
76.5564
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where CHARLES GAINES, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

APPALACHIAN REGIONAL HEALTHCARE INC
HAZARD, KY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

63
Total Claims
$766
Total Drug Cost
27
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
63
Total Day Supply
854
Brand Drug Cost
$0
Generic Drug Cost
$766

Patient Demographics

Average Patient Age
53.9 years
Avg HCC Risk Score
1.50
Gender Split
41% female / 59% male

Psychiatry Physician Overview

How CHARLES GAINES, DO fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

CHARLES GAINES, DO's 63 claims are below the specialty average of 1,038.

Nearby Psychiatry Physician Providers in Tennessee

Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as GAINES.

Compare Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CHARLES GAINES, DO's specialty?
CHARLES GAINES, DO specializes in Psychiatry Physician and practices in JOHNSON CITY, Tennessee. Credentials: DO.
How much does CHARLES GAINES, DO prescribe under Medicare Part D?
In 2023, CHARLES GAINES, DO wrote 63 Medicare Part D claims totaling $766 in drug costs for 27 beneficiaries.
What is CHARLES GAINES, DO's Medicare quality score?
CHARLES GAINES, DO has a CMS MIPS Final Score of 97.4009/100 (Quality: 76.5564). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CHARLES GAINES, DO located?
CHARLES GAINES, DO is located at 403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN, 37604. Phone: (423) 431-7013.
What is CHARLES GAINES, DO's NPI number?
CHARLES GAINES, DO's National Provider Identifier (NPI) is 1649236753, issued on 04/26/2006.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
Does CHARLES GAINES, DO accept Medicare?
CHARLES GAINES, DO appears in CMS Medicare data with 63 Part D claims and 27 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHARLES GAINES, DO's credentials?
CHARLES GAINES, DO's NPI is 1649236753 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology