NPPES file of Aug 9, 2026

Kevin Don Gaines, MD

Family Medicine Physician · Gallup, NM

Kevin Don Gaines, MD is a family medicine physician with a practice address in Gallup, New Mexico, and NPI 1740217793, issued on Jun 26, 2006. Check the license on the New Mexico Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1740217793
Name
Kevin Don Gaines
Credential
MD
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
21745 OK
Self-reported in NPPES; status is on the state search
Practice location
516 E. Nizhoni Blvd, Gallup, NM 87301
Phone
(505) 722-1000
Enumerated
Jun 26, 2006
Record last updated
Apr 11, 2008 (not updated in 18 years: call before relying on the address or phone)
Fax
(505) 726-8740
Medicaid IDs
09101071 NM
758196 AZ
Medicare enrollment
Enrolled (PECOS I20040108001187); accepts Medicare assignment
Medical or professional school
University Of Arkansas College Of Medicine, 1999
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 516 E. Nizhoni Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Becky Anton, CNMAdvanced Practice Midwife1336331818
  2. Eileen Biunno, MDDiagnostic Radiology Physician1366420747
  3. Christine Castillo, RPHPharmacist1528169950
  4. Valina Chee, DADental Assistant1336399088
  5. Qiana Coffey, RN, MSNAmbulatory Care Registered Nurse1124076070
  6. Brian Culligan, O.D.Optometrist1942230610

Verify Kevin Don Gaines in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Mexico Medical BoardCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Mexico license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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97% fewer Medicare Part D claims than the average family medicine physician in 2024

101 Medicare Part D claims for 14 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 34% of claims.

  1. Kevin Gaines101
  2. Specialty average3,544

Most prescribed

  1. Rosuvastatin Calcium12 claims

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 practice group's MIPS final score for 2023 (Medicare payment program): 73.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score69.6
  2. Costout of 100 · 30%49.4
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Dhhs,phs,naihs, Gallup Indian Medical CenterGallup, NM

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kevin Don Gaines among 1,287 family medicine physician records in New Mexico

Kevin Don Gaines, MD is one of 1,287 family medicine physician records with a practice address in New Mexico. 72% 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 12% of them.

  • NPI issued2006 · 12% of these records are older, 51% newer
  • In a Medicare fileYes · 72% of these records are
  • In the CMS Doctors and Clinicians fileYes · 56% of these records are
  • Graduated1999 · median 2008 among the 727 with a school on file
  • Record last updated2008 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a New Mexico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

27 family medicine physician records list a practice address in Gallup

They are 27 of the 2,067 NPPES records with a practice address in Gallup, and 1,287 family medicine physician records in New Mexico.

The 8 family medicine physician records with the nearest ZIP codes

  1. Alma Alford, MDGallup, NM 873011194753533
  2. William Anderson, M.D.Gallup, NM 873011598747909
  3. Aedra Andrade, MDGallup, NM 873011164435673
  4. Janet Arrowsmith, MDGallup, NM 873011558330126
  5. Sarah Aycock, MDGallup, NM 873011871520874
  6. Judith Denina, MDGallup, NM 873011366535056
  7. Uma Duggirala, MDGallup, NM 873011376511485
  8. Bert Eliason, M.D.Gallup, NM 873011174513113

Common questions

What is Kevin Don Gaines, MD's NPI number?

Kevin Don Gaines, MD's National Provider Identifier (NPI) is 1740217793, issued on Jun 26, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Kevin Don Gaines, MD located?

The NPPES record lists a practice address at 516 E. Nizhoni Blvd, Gallup, NM, 87301. Phone: (505) 722-1000. Providers update this record themselves, so call before visiting.

How can I verify Kevin Don Gaines, MD's license?

Search the New Mexico Medical Board at https://www.nmmb.state.nm.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Kevin Don Gaines, MD prescribe under Medicare Part D?

In 2024, Kevin Don Gaines, MD had 101 Medicare Part D claims for 14 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

What is Kevin Don Gaines, MD's MIPS final score?

The 2023 MIPS final score is 73.1 of 100, reported for the practice group. 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.