2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1992140800 NP
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DAVID GAINES, NP

Psychiatric/Mental Health Nurse Practitioner in NEW CASTLE, Delaware. 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
1K
Medicare Part D claims · 108 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
33.2678/100
▼ 50 pts below national avg 83.1 · [object Object]
Industry payments
$453.29
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DAVID GAINES, NP reported a CMS MIPS final score of 33.2678/100 — below the 83.1 national average — and filed 1,432 Medicare Part D claims in 2023.

33.2678/100
MIPS score · -50 vs avg
1K
Part D claims, 2023
91%
generic prescribing
$453.29
industry payments (Sunshine Act)

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.

DAVID GAINES, NP's MIPS score vs every scored U.S. clinician

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

33 3rd percentile higher than 3% 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%). This entry sits in this band. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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

What does the federal data show about DAVID GAINES, NP?

Below national average

NPI registry status

Active

Issued 05/06/2013

NPI 1992140800

Primary specialty

Psychiatric/Mental Health Nurse Practitioner

Mid-sized

39,953 US NPIs in this specialty

Medicare Part D claims

1,432 54% vs specialty avg

2023 prescription claims

Specialty avg: 927

MIPS final score

33.2678/100 49.83219999999999% pts

Below average band

vs 83.1 national avg

Specialty distribution in Delaware

How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Delaware providers

Delaware providers

Psychiatric/Mental Health Nurse Practitioner share within Delaware

1. Psychiatric/Mental Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatric/Mental Health Nurse Practitioner share within Delaware

Medicare quality performance — MIPS

DAVID GAINES, NP's 2023 MIPS final score plotted against the Psychiatric/Mental Health Nurse Practitioner national average

Below national average
MIPS Final Score
33.2678/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatric/Mental Health Nurse Practitioner) — 33.2678/100 vs national avg 83.1

0%100%National avg83%33.3%
MIPS final score (Psychiatric/Mental Health Nurse Practitioner) — 33.2678/100 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).

DAVID GAINES, NP is a Psychiatric/Mental Health Nurse Practitioner provider practicing in NEW CASTLE, Delaware, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: NP. NPI: 1992140800. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DAVID GAINES, NP appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider holding NP credentials at 100 DOVER ST, NEW CASTLE, DE, 19720, with a listed phone of (302) 656-1390. NPI 1992140800 was issued on 05/06/2013. 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 1,432 prescription claims written by this provider, covering 108 Medicare beneficiaries and totaling roughly $132K in drug spend, split 9% brand-name and 91% generic by claim count. 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 33.2678/100 for the 2023 performance year (Quality 8.5137, Cost 60.7124), compared with the national average of 83.1.

Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 39,953 enrolled providers across 54 states and an average of 927 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

100 DOVER ST
NEW CASTLE, DE 19720

Provider Details

NPI 1992140800
Specialty Psychiatric/Mental Health Nurse Practitioner
Credentials NP
Gender Male
NPI Issued 05/06/2013

CMS Quality Score (MIPS)

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

33.2678
Final Score
Avg: 83.1
8.5137
Quality
60.7124
Cost
0
Promoting Interoperability

Reporting: Group practice

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for DAVID GAINES, NP. Source: openpaymentsdata.cms.gov.

Total received

$453

Largest payer

Gilead Sciences, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

DAVID GAINES, NP — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 1,432 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

1,432
Total Claims
$132K
Total Drug Cost
108
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,451
Total Day Supply
39,675
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$73K
Generic Drug Cost
$59K

Patient Demographics

Average Patient Age
52.2 years
Avg HCC Risk Score
1.33
Gender Split
36% female / 64% male
Age Distribution
<65: 80, 65-74: 22, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
69
Levothyroxine Sodium
53
Fluticasone Propionate
48
Omeprazole
45
Quetiapine Fumarate
41
Famotidine
40
Sertraline Hcl
36
Simvastatin
32
Levetiracetam
29
Trazodone Hcl
26

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Psychiatric/Mental Health Nurse Practitioner Overview

How DAVID GAINES, NP fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.

39,953
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider

DAVID GAINES, NP's 1,432 claims are above the specialty average of 927.

Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Delaware

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

Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is DAVID GAINES, NP's specialty?
DAVID GAINES, NP specializes in Psychiatric/Mental Health Nurse Practitioner and practices in NEW CASTLE, Delaware. Credentials: NP.
How much does DAVID GAINES, NP prescribe under Medicare Part D?
In 2023, DAVID GAINES, NP wrote 1,432 Medicare Part D claims totaling $132K in drug costs for 108 beneficiaries.
What is DAVID GAINES, NP's Medicare quality score?
DAVID GAINES, NP has a CMS MIPS Final Score of 33.2678/100 (Quality: 8.5137, Cost: 60.7124). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DAVID GAINES, NP located?
DAVID GAINES, NP is located at 100 DOVER ST, NEW CASTLE, DE, 19720. Phone: (302) 656-1390.
What is DAVID GAINES, NP's NPI number?
DAVID GAINES, NP's National Provider Identifier (NPI) is 1992140800, issued on 05/06/2013.
Does DAVID GAINES, NP prescribe more brand-name or generic drugs?
DAVID GAINES, NP's prescribing is 9% brand-name and 91% generic drugs by claim count, with $73K in brand drug costs.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US?
There are 39,953 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does DAVID GAINES, NP prescribe most often?
Based on 2023 Medicare Part D data, DAVID GAINES, NP's most frequently prescribed drugs include Buprenorphine-Naloxone, Levothyroxine Sodium, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAVID GAINES, NP accept Medicare?
DAVID GAINES, NP appears in CMS Medicare data with 1,432 Part D claims and 108 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID GAINES, NP's credentials?
DAVID GAINES, NP's NPI is 1992140800 with credentials NP. 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