Dr. Charles E. Gaines, DO

  • Hazard, KY
  • Psychiatrist
NPI1649236753PAC ID1951381938
Medicare services, 2024
427
Medicare patients, 2024
66
Part D claims, 2024
95
MIPS score, 2024
82
Hospital affiliations
2
Practice address
102 Medical Center Drive, Suite B, Hazard, KY 41701
Practice phone
Call (606) 487-7980
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

ARH Advanced Care - Kentucky River

Hospital · Hazard, Kentucky

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Dr. Charles E. Gaines is a psychiatrist in Hazard, Kentucky

Dr. Gaines practices at ARH Advanced Care - Kentucky River in Hazard, Kentucky, part of ARH.

Dr. Gaines' NPI, 1649236753, was assigned on April 26, 2006. Dr. Gaines holds Tennessee license DO01281.

NPI and contact details
Medicare PAC ID
1951381938
NPI enumeration date
April 26, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(606) 487-7980
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
55
Medical school graduation
1997

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Charles E. Gaines practices at ARH Advanced Care - Kentucky River in Hazard, Kentucky

Dr. Gaines' primary practice is ARH Advanced Care - Kentucky River, at 102 Medical Center Drive, Suite B, Hazard, KY 41701 in Perry County. The practice phone is (606) 487-7980.

Source: Dmand AI Affiliation Data

Dr. Charles E. Gaines is affiliated with 2 sites of care and 1 medical group

Dr. Gaines' primary practice is ARH Advanced Care - Kentucky River in Hazard, Kentucky, part of ARH. Dr. Gaines is also affiliated with Hazard ARH Regional Medical Center. The medical group on file is ARH Pennington Gap Clinic.

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Charles E. Gaines' practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Gaines practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
ARH Advanced Care - Kentucky RiverAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Charles E. Gaines is one of 350 psychiatrists in Kentucky

Psychiatry is Dr. Gaines' primary specialty in the NPI Registry, under taxonomy code 2084P0800X. Dr. Gaines is licensed in Tennessee.

Specialties and state licenses

  • Psychiatry, TennesseePrimaryLicense DO01281 · taxonomy 2084P0800X

Psychiatrists near Dr. Gaines

Counts of psychiatrists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Charles E. Gaines billed Medicare for 427 services in 2024

CMS data shows 427 Medicare services from Dr. Gaines across 3 procedure codes in 2024, for 66 Medicare patients. Medicare paid $18,805 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024427
Medicare patients66
Paid by Medicare$18,805
Procedure codes3

Dr. Gaines' Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 3352024: 42727%

Dr. Gaines compared with the Kentucky median for psychiatrists, 2024

  • Dr. Gaines
  • Kentucky median
Medicare services
427vs 1732.5 times
Medicare patients
66vs 5422% above
Part D claims
12vs 22195% below

Medians across 361 psychiatrists in Kentucky with Dmand AI profiles that report each measure.

Dr. Gaines' most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Gaines

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Charles E. Gaines treated 66 Medicare patients in 2024, average age 53

CMS counts 66 Medicare patients who saw Dr. Gaines in 2024. The largest group is under 65, with 45 patients. 75% of them have anxiety, and 75% have schizophrenia and other psychoses. 82% are also on Medicaid. Their average risk score is 1.65, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Gaines' median patient age at 42, with 46% women.

Medicare patients, 202466
Average age53
Average risk score1.65
Also on Medicaid82%

Dr. Gaines' Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Gaines' Medicare patients by sex, 2024

  • Women2944%
  • Men3756%

Chronic conditions among Dr. Gaines' Medicare patients, 2024

  1. Anxiety75%
  2. Schizophrenia and other psychoses75%
  3. Tobacco use68%
  4. Mood disorders65%
  5. High blood pressure62%
  6. Depression55%
  7. High cholesterol55%
  8. Alcohol and drug use disorders53%

Share of Medicare patients with each condition. A patient can have several.

Dr. Gaines' patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 42

Patient panel by sex, all payers

  • Women46%
  • Men54%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Charles E. Gaines wrote 95 Medicare Part D claims in 2024

In 2024, Dr. Gaines wrote 95 Medicare Part D claims for 44 patients. 96% of them were for generic drugs. CMS names the drug for 12 of them, across 1 drug with 11 or more claims each, at $126 in total drug cost. In 2018, CMS named 138 claims across 6 drugs.

Part D claims, 202495
Drugs named by CMS1
Total drug cost$126
Part D patients44

Dr. Gaines' Part D claims by kind of drug, 2024

  • Generic91 claims96%
  • Brand-name and other4 claims4%

Dr. Gaines' most prescribed drugs by claims, 2019

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2018 to 2019

  • 2018
  • 2019
Claims for drugs CMS names
2018: 1382019: 1291%

Drugs named by CMS: 1 in 2019, 6 in 2018.

See all prescribing by Dr. Gaines

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Charles E. Gaines scored 82 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 82 out of 100 for Dr. Gaines for performance year 2024, reported through an alternative payment model (APM). Dr. Gaines accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Gaines' MIPS scores, performance year 2024

  • 82of 100Final score
  • 47.1of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

For MedTech and pharma teams

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Dr. Charles E. Gaines received $311 in industry payments from 2019 to 2023

CMS Open Payments shows 13 general payments to Dr. Gaines from 4 drug and device companies from 2019 to 2023. Food and beverage make up the largest share, 100% of the total. Alkermes, Inc. paid the most, $173.

General payments to Dr. Gaines by program year, 2019 to 2023

Companies that paid Dr. Gaines the most, 2019 to 2023

Share is of all general payments to this clinician.

See all payments to Dr. Gaines

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Dr. Charles E. Gaines's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Charles E. Gaines

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Charles E. Gaines' NPI number?

Dr. Charles E. Gaines' NPI number is 1649236753. It was assigned on April 26, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Charles E. Gaines?

Dr. Charles E. Gaines is a psychiatrist in Hazard, Kentucky. The primary specialty in the NPI Registry is Psychiatry Physician (taxonomy code 2084P0800X).

Where does Dr. Charles E. Gaines practice?

Dr. Gaines practices at 102 Medical Center Drive, Suite B, Hazard, KY 41701. Dr. Gaines' primary practice is ARH Advanced Care - Kentucky River in Hazard, Kentucky, part of ARH.

What is Dr. Charles E. Gaines' office phone number?

The practice phone on file for Dr. Gaines is (606) 487-7980.

What is Dr. Charles E. Gaines' medical license number?

Dr. Gaines holds Tennessee license DO01281.

Which hospitals is Dr. Charles E. Gaines affiliated with?

Dr. Gaines practices at ARH Advanced Care - Kentucky River in Hazard, Kentucky. Dr. Gaines is also affiliated with Hazard ARH Regional Medical Center.

What medical group is Dr. Charles E. Gaines part of?

Dr. Gaines is linked to ARH Pennington Gap Clinic.

Does Dr. Charles E. Gaines accept Medicare?

Yes. CMS data shows Dr. Gaines billed Medicare for 427 services in 2024, and Dr. Gaines accepts Medicare assignment.

What is Dr. Charles E. Gaines' MIPS score?

Dr. Gaines' MIPS final score for performance year 2024 is 82 out of 100, reported through an alternative payment model (APM).

How many Medicare patients does Dr. Charles E. Gaines see?

CMS counts 66 Medicare patients who saw Dr. Gaines in 2024, with an average age of 53.

Show 4 more questionsShow fewer questions

What services does Dr. Charles E. Gaines bill to Medicare?

In 2024, Dr. Gaines' most billed Medicare services were hospital inpatient care (99231), hospital inpatient care (99232) and hospital inpatient care (99238).

What drugs does Dr. Charles E. Gaines prescribe most?

In 2019 Medicare Part D data, Dr. Gaines' most prescribed drugs by claims were Quetiapine Fumarate.

Has Dr. Charles E. Gaines received payments from drug or device companies?

CMS Open Payments shows $311 in general payments to Dr. Gaines from 4 companies from 2019 to 2023. The largest total came from Alkermes, Inc.

How long has Dr. Charles E. Gaines been practicing?

Dr. Gaines graduated from medical school in 1997, 29 years ago.

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