NPPES file of Aug 9, 2026

Michael Andrew Caines, M.D.

Orthopaedic Surgery Physician · Suffolk, VA

Michael Andrew Caines, M.D. is an orthopaedic surgery physician with a practice address in Suffolk, Virginia, and NPI 1144242298, issued on Jul 24, 2006. Check the license (Virginia 0101231723, as entered in NPPES) on the Virginia Department of Health Professions; 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
1144242298
Name
Michael Andrew Caines
Credential
M.D.
Primary taxonomy
Orthopaedic Surgery Physician 207X00000X
License number
0101231723 VA
Self-reported in NPPES; status is on the state search
Practice location
5838 Harbour View Blvd, Suffolk, VA 23435
Phone
(757) 673-5680
Enumerated
Jul 24, 2006
Record last updated
Jul 24, 2025
Fax
(757) 483-3075
Medicaid ID
006408664 VA
Medicare enrollment
Enrolled (PECOS I20100111000652); accepts Medicare assignment
Medical or professional school
Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University, 1992
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 5838 Harbour View Blvd

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

  1. Dae Chough, M.D.Cardiovascular Disease Physician1881616134
  2. Jun Chung, M.D.Interventional Cardiology Physician1295758191
  3. Bree Clemmons, M.ED, ATC, LATAthletic Trainer1205263563
  4. Snehal Damle, M.DHematology & Oncology Physician1174560015
  5. Kraig Graham, MDOrthopaedic Surgery Physician1174755961
  6. Meredith Grzybowski, MSN, FNP-BCFamily Nurse Practitioner1609202399

Verify Michael Andrew Caines in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101231723
    Check 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 Virginia license search

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47% more Medicare Part D claims than the average orthopaedic surgery physician in 2024

507 Medicare Part D claims for 144 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 6% of claims. 125 claims were for opioids.

  1. Michael Caines507
  2. Specialty average346

Most prescribed

  1. Meloxicam55 claims
  2. Famotidine40 claims
  3. Ondansetron Hcl37 claims
  4. Hydrocodone-Acetaminophen35 claims
  5. Oxycodone Hcl35 claims
  6. Cephalexin30 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 MIPS final score for 2023 (Medicare payment program): 89.5 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.

  1. Qualityout of 100 · 30% of the final score80.9
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

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

Industry payments in 2024: $1,575.97

16 payments; by number, the most common kind was food and beverage; the largest payer was Stryker Corporation. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Michael Caines$1,576
  2. Specialty average$23,023

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Bon Secours Medical Group Hampton Roads Specialty Care LLCNorfolk, VA

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

Orthopaedic Surgery Physician providers in Virginia

There are 586 orthopaedic surgery physician records in Virginia.

Other orthopaedic surgery physician records in Virginia

  1. Armin Aalami Harandi, M.D.Culpeper, VA1700010287
  2. Alexander Aboka, MDVirginia Beach, VA1952440950
  3. Kenneth Accousti, M.D.Fredericksburg, VA1316998586
  4. Adeshina Adeyemo, MDFredericksburg, VA1386135341
  5. Murillo Adrados, M.D.Roanoke, VA1124409453
  6. Matthew Adsit, MDRoanoke, VA1225611890
  7. George Aguiar, MDReston, VA1750308086
  8. Elaine Ahillen, M.D.Sterling, VA1891940219
  9. Syed Ahmed, MDFort Belvoir, VA1629059639
  10. Brent Ain, MDFairfax, VA1063401214

Common questions

What is Michael Andrew Caines, M.D.'s NPI number?

Michael Andrew Caines, M.D.'s National Provider Identifier (NPI) is 1144242298, issued on Jul 24, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Michael Andrew Caines, M.D. located?

The NPPES record lists a practice address at 5838 Harbour View Blvd, Suffolk, VA, 23435. Phone: (757) 673-5680. Providers update this record themselves, so call before visiting.

How can I verify Michael Andrew Caines, M.D.'s license?

NPPES lists Virginia license number 0101231723, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Michael Andrew Caines, M.D. prescribe under Medicare Part D?

In 2024, Michael Andrew Caines, M.D. had 507 Medicare Part D claims for 144 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.

What is Michael Andrew Caines, M.D.'s MIPS final score?

The 2023 MIPS final score is 89.5 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.