Charles E. Gaines, DO
Psychiatry Physician · Johnson City, TN
Charles E. Gaines, DO is a psychiatry physician with a practice address in Johnson City, Tennessee, and NPI 1649236753, issued on Apr 26, 2006. Check the license (Tennessee DO01281, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Charles E. Gaines
- Credential
- DO
- Primary taxonomy
- Psychiatry Physician 2084P0800X
- License number
- DO01281 TN
Self-reported in NPPES; status is on the state search - Practice location
- 403 N State OF Franklin RD, Johnson City, TN 37604
- Phone
- (423) 431-7013
- Enumerated
- Apr 26, 2006
- Record last updated
- Jul 13, 2026
- Fax
- (423) 431-7130
- Medicaid ID
- 3306064 TN
- Medicare enrollment
- Enrolled (PECOS I20110404000645); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest psychiatry physician records → All 731 in Tennessee → Look up another NPI →
Also registered at 403 N State OF Franklin RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- John Abner, PHDClinical Psychologist1508885138
- Katherine Astaneh, FNPFamily Nurse Practitioner1902330269
- Clay Blanchett, MDPsychiatry Physician1205398179
- Lisa Blevins, APNAdult Psychiatric/Mental Health Clinical Nurse Specialist1851452288
- Aaryn BrewsterPharmacist1760331706
- Gregory De Roo, MD, MBAPsychiatry Physician1316681026
Verify Charles E. Gaines in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTennessee Board of Medical Examiners
Search for license DO01281Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
90% fewer Medicare Part D claims than the average psychiatry physician in 2024
95 Medicare Part D claims for 44 beneficiaries, against an average of 1,000 among the 35,054 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 97.4 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Appalachian Regional Healthcare IncHazard, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Charles E. Gaines among 731 psychiatry physician records in Tennessee
Charles E. Gaines, DO is one of 731 psychiatry physician records with a practice address in Tennessee. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 53% newer
- In a Medicare fileYes · 66% of these records are
- In the CMS Doctors and Clinicians fileYes · 45% of these records are
- Graduated1997 · median 2003 among the 329 with a school on file
- Record last updated2026 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084P0800X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
45 psychiatry physician records list a practice address in Johnson City
They are 45 of the 3,807 NPPES records with a practice address in Johnson City, and 731 psychiatry physician records in Tennessee.
All 731 in Tennessee → Every provider in Johnson City → Psychiatry Physician nationwide →
The 8 psychiatry physician records with the nearest ZIP codes
- Fernando Bendfeldt, M.D.Johnson City, TN 376041205830536
- Brian Bonfardin, MDJohnson City, TN 376041356322515
- Shambhavi Chandraiah, M.D.Johnson City, TN 376041760439392
- William Diebold, MDJohnson City, TN 376041770573511
- John Fenley, MDJohnson City, TN 376041568537751
- Donald Henson, M.D.Johnson City, TN 376041245265925
- Rodney Houghton, MDJohnson City, TN 376041215993332
- Firoz Munshi, MDJohnson City, TN 376041356465801
Common questions
What is Charles E. Gaines, DO's NPI number?
Charles E. Gaines, DO's National Provider Identifier (NPI) is 1649236753, issued on Apr 26, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Charles E. Gaines, DO located?
The NPPES record lists a practice address at 403 N State OF Franklin RD, Johnson City, TN, 37604. Phone: (423) 431-7013. Providers update this record themselves, so call before visiting.
How can I verify Charles E. Gaines, DO's license?
NPPES lists Tennessee license number DO01281, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Charles E. Gaines, DO prescribe under Medicare Part D?
In 2024, Charles E. Gaines, DO had 95 Medicare Part D claims for 44 beneficiaries; the average among psychiatry physician prescribers was 1,000. Part D covers Medicare prescriptions only.
What is Charles E. Gaines, DO's MIPS final score?
The 2023 MIPS final score is 97.4 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.