NPI registry status
Active
2026 NPPES data Neurology with Special Qualifications in Child Neurology Physician NPI 1225065394 MD
Verify on CMS → John Gaitanis, MD
Neurology with Special Qualifications in Child Neurology Physician in Providence, Rhode Island.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,803 in Neurology with Special Qualifications in Child Neurology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
236
Medicare Part D claims · 13 beneficiaries · Neurology with Special Qualifications in Child Neurology Physician avg: 359
Industry payments
$7.8K
7 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
John Gaitanis, MD filed 236 Medicare Part D claims in 2023 as a Neurology with Special Qualifications in Child Neurology Physician in Providence, Rhode Island.
- 236
- 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.
John Gaitanis, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
236 49th percentile higher than 49% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
John Gaitanis, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations - 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 John Gaitanis, MD?
Quality data not reportedPrimary specialty
Neurology with Special Qualifications in Child Neurology Physician
Medicare Part D claims
236 34% vs specialty avg
Specialty distribution in Rhode Island
How Neurology with Special Qualifications in Child Neurology Physician compares to other specialties among Rhode Island providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Neurology with Special Qualifications in Child Neurology Physician. Verify directly:
How MIPS and board certification work
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).
John Gaitanis, MD appears in the CMS NPPES registry as a Neurology with Special Qualifications in Child Neurology Physician provider holding MD credentials at 593 EDDY ST, Providence, RI, 02903, with a listed phone of (401) 444-4000. NPI 1225065394 was issued on 06/26/2006.
Medicare Part D records for calendar year 2023 show 236 prescription claims written by this provider, covering 13 Medicare beneficiaries and totaling roughly $58K in drug spend.
Neurology with Special Qualifications in Child Neurology Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 51 states and an average of 359 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
Provider Details
| NPI | 1225065394 |
|---|---|
| Specialty | Neurology with Special Qualifications in Child Neurology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/26/2006 |
Hospital and facility affiliations
Facilities where John Gaitanis, MD 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.
According to CMS billing records, John Gaitanis, MD is affiliated with 3 Medicare-billing facilities across 3 states, 1 of which carry a CMS Hospital overall star rating.
Rhode Island Hospital
★★★★☆ 4/5
Providence, RI
Acute Care Hospitals
CMS CCN: 410007
Carepoint Inpatient Blue Sky Neurology - Texas, PLLC
San Antonio, TX
Carepoint Inpatient Blue Sky Neurology PLLC
Lone Tree, CO
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 John Gaitanis, MD. Source: openpaymentsdata.cms.gov.
Total received
$7.8K
Largest payer
Neurelis, Inc.
Most common payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
236
Total Claims
$58K
Total Drug Cost
13
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 301
- Total Day Supply
- 8,954
- Generic Drug Cost
- $12K
- Antibiotic Claims
- 12
Patient Demographics
- Average Patient Age
- 25.3 years
- Avg HCC Risk Score
- 0.61
- Age Distribution
- <65: 13, 65-74: 0, 75-84: 0, 85+: 0
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What John Gaitanis, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Lamotrigine
Lamotrigine
32 claims
- Topiramate
Topiramate
17 claims
- Fluoxetine Hcl
Fluoxetine Hcl
14 claims
- Lyrica
Lyrica
13 claims
- Leucovorin Calcium 12
Leucovorin Calcium
12 claims
- Minocycline Hcl 12
Minocycline Hcl
12 claims
| Drug | Claims |
|---|---|
| Lamotrigine | 32 |
| Topiramate | 17 |
| Fluoxetine Hcl | 14 |
| Lyrica Pregabalin | 13 |
| Leucovorin Calcium | 12 |
| Minocycline Hcl | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Neurology with Special Qualifications in Child Neurology Physician in RI →
All providers in Rhode Island →
Compare specialties →
Neurology with Special Qualifications in Child Neurology Physician Overview
How John Gaitanis, MD fits within the Neurology with Special Qualifications in Child Neurology Physician landscape nationally.
1,803
Neurology with Special Qualifications in Child Neurology Physician Providers in US
51
States with Neurology with Special Qualifications in Child Neurology Physician
359
Avg Claims per Provider
John Gaitanis, MD's 236 claims are below the specialty average of 359.
Nearby Neurology with Special Qualifications in Child Neurology Physician Providers in Rhode Island
Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as Gaitanis.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Rhode Island medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Neurology with Special Qualifications in Child Neurology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is John Gaitanis, MD's specialty? ▼
John Gaitanis, MD specializes in Neurology with Special Qualifications in Child Neurology Physician and practices in Providence, Rhode Island. Credentials: MD.
How much does John Gaitanis, MD prescribe under Medicare Part D? ▼
In 2023, John Gaitanis, MD wrote 236 Medicare Part D claims totaling $58K in drug costs for 13 beneficiaries.
Where is John Gaitanis, MD located? ▼
John Gaitanis, MD is located at 593 EDDY ST, Providence, RI, 02903. Phone: (401) 444-4000.
What is John Gaitanis, MD's NPI number? ▼
John Gaitanis, MD's National Provider Identifier (NPI) is 1225065394, issued on 06/26/2006.
How many Neurology with Special Qualifications in Child Neurology Physician providers are there in the US? ▼
There are 1,803 Neurology with Special Qualifications in Child Neurology Physician providers across 51 states in the US. The average Neurology with Special Qualifications in Child Neurology Physician provider writes 359 Medicare Part D claims per year.
What drugs does John Gaitanis, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, John Gaitanis, MD's most frequently prescribed drugs include Lamotrigine, Topiramate, Fluoxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Gaitanis, MD accept Medicare? ▼
John Gaitanis, MD appears in CMS Medicare data with 236 Part D claims and 13 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Gaitanis, MD's credentials? ▼
John Gaitanis, MD's NPI is 1225065394 with credentials MD. 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
View source datasets and methodology notes
- 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.