2026 NPPES data Clinical Neuropsychologist NPI 1396764692 PH.D.
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JEFFREY GAINES, PH.D.

Clinical Neuropsychologist in WORCESTER, Massachusetts. 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.
MIPS score
87.8134/100
▲ 5 pts above national avg 83.1 · [object Object]

What the federal data shows

JEFFREY GAINES, PH.D. reported a CMS MIPS final score of 87.8134/100 — above the 83.1 national average.

87.8134/100
MIPS score · +5 vs avg

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.

JEFFREY GAINES, PH.D.'s MIPS score vs every scored U.S. clinician

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

88 Top 46% higher than 54% 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%). This entry sits in this band. 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 JEFFREY GAINES, PH.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/18/2006

NPI 1396764692

Primary specialty

Clinical Neuropsychologist

Mid-sized

5,728 US NPIs in this specialty

MIPS final score

87.8134/100 4.713400000000007% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Clinical Neuropsychologist compares to other specialties among Massachusetts providers

Massachusetts providers

Clinical Neuropsychologist share within Massachusetts

1. Clinical Neuropsychologist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Neuropsychologist share within Massachusetts

Medicare quality performance — MIPS

JEFFREY GAINES, PH.D.'s 2023 MIPS final score plotted against the Clinical Neuropsychologist national average

High performer (top quartile)
MIPS Final Score
87.8134/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Neuropsychologist) — 87.8134/100 vs national avg 83.1

0%100%National avg83%87.8%
MIPS final score (Clinical Neuropsychologist) — 87.8134/100 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).

JEFFREY GAINES, PH.D. appears in the CMS NPPES registry as a Clinical Neuropsychologist provider holding PH.D. credentials at 50 ELM ST, WORCESTER, MA, 01609, with a listed phone of (617) 223-1563. NPI 1396764692 was issued on 07/18/2006. 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Clinical Neuropsychologist providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 87.8134/100 for the 2023 performance year (Quality 73.9742), compared with the national average of 83.1.

Clinical Neuropsychologist is a mid-sized specialty nationwide, with 5,728 enrolled providers across 53 states and an average of 877 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

50 ELM ST
WORCESTER, MA 01609

Provider Details

NPI 1396764692
Specialty Clinical Neuropsychologist
Credentials PH.D.
Gender Male
NPI Issued 07/18/2006

CMS Quality Score (MIPS)

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

87.8134
Final Score
Avg: 83.1
73.9742
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where JEFFREY GAINES, PH.D. 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.

GAYLORD HOSPITAL, INC.
WALLINGFORD, CT

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

License & disciplinary context — Massachusetts BORIM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~38K Massachusetts medical licensees in 2023 — they are NOT specific to JEFFREY GAINES, PH.D.. To verify JEFFREY GAINES, PH.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Clinical Neuropsychologist Overview

How JEFFREY GAINES, PH.D. fits within the Clinical Neuropsychologist landscape nationally.

5,728
Clinical Neuropsychologist Providers in US
53
States with Clinical Neuropsychologist
877
Avg Claims per Provider

Nearby Clinical Neuropsychologist Providers in Massachusetts

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

Compare Clinical Neuropsychologist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JEFFREY GAINES, PH.D.'s specialty?
JEFFREY GAINES, PH.D. specializes in Clinical Neuropsychologist and practices in WORCESTER, Massachusetts. Credentials: PH.D..
What is JEFFREY GAINES, PH.D.'s Medicare quality score?
JEFFREY GAINES, PH.D. has a CMS MIPS Final Score of 87.8134/100 (Quality: 73.9742). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JEFFREY GAINES, PH.D. located?
JEFFREY GAINES, PH.D. is located at 50 ELM ST, WORCESTER, MA, 01609. Phone: (617) 223-1563.
What is JEFFREY GAINES, PH.D.'s NPI number?
JEFFREY GAINES, PH.D.'s National Provider Identifier (NPI) is 1396764692, issued on 07/18/2006.
How many Clinical Neuropsychologist providers are there in the US?
There are 5,728 Clinical Neuropsychologist providers across 53 states in the US. The average Clinical Neuropsychologist provider writes 877 Medicare Part D claims per year.
Does JEFFREY GAINES, PH.D. accept Medicare?
JEFFREY GAINES, PH.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JEFFREY GAINES, PH.D.'s credentials?
JEFFREY GAINES, PH.D.'s NPI is 1396764692 with credentials PH.D.. 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.
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