Medicare Enrolled

Dr. Evan Gaines, MD

Sports Medicine (Orthopaedic Surgery) Physician · New City, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
350 S MAIN ST, New City, NY 10956
8456347500
Registered in NPPES since 2008
NPI: 1548414725 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Gaines from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Gaines

Dr. Evan Gaines is a sports medicine physician in New City, NY, with 17 years of NPI registration. Based on federal Medicare data, Dr. Gaines performed 3,048 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Gaines received a total of $4,185 from 12 pharmaceutical and/or device companies across 101 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Gaines is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 17 years of NPI registration ▲ Top 19% volume in NY $4,185 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
3,048
Medicare services
Top 19% in NY for sports medicine (orthopaedic surgery) physician
Not available
Unique patients (not deduplicated)
$39
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Hymovis intra-articular injection
An injection of Hymovis, a hyaluronan derivative, administered directly into a joint space.
1,231 $13 $101
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
416 $77 $508
Extended-release steroid injection (Zilretta)
An injection of triamcinolone acetonide using a preservative-free, extended-release microsphere formulation. The dosage is measured in milligrams.
331 $13 $139
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
270 $54 $1,004
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
139 $93 $759
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
106 $118 $650
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
95 $1 $6
Knee X-ray, 3 views
An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures.
82 $32 $285
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
51 $5 $34
X-ray of lower and sacral spine, 2-3 views
An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area.
50 $35 $319
Injection, methylprednisolone acetate, 40 mg 44 $6 $27
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
43 $30 $254
Hip X-ray, 2-3 views
An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures.
30 $40 $340
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
30 $152 $920
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
30 $120 $1,065
Wrist X-ray, minimum 3 views
An imaging test using X-rays to capture at least three different angles of the wrist bones and joints.
28 $39 $288
Ankle X-ray, minimum 3 views
An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints.
24 $26 $234
Hyaluronan gel injection for joint
An injection of hyaluronan gel into a joint to supplement joint fluid. This procedure is administered as a single dose.
19 $406 $2,387
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
18 $87 $907
X-ray of upper spine, 2-3 views
An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures.
11 $35 $320
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$4,185
Total received (2018-2024)
Avg $598/year across 7 years
Bottom 36% in NY for sports medicine (orthopaedic surgery) physician
12
Companies
101
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$410
2023
$468
2022
$840
2021
$293
2020
$831
2019
$802
2018
$540

Payments by company (2024)

Smith+Nephew, Inc.
$358
Stryker Corporation
$52
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Smith+Nephew, Inc.
$2,602
DePuy Synthes Sales Inc.
$483
Smith & Nephew, Inc.
$328
Stryker Corporation
$264
Pacira Pharmaceuticals Incorporated
$113
SANOFI-AVENTIS U.S. LLC
$104
Gotham Surgical Solutions & Devices, Inc.
$83
Flexion Therapeutics, Inc.
$79
Ferring Pharmaceuticals Inc.
$47
Horizon Pharma plc
$31
Horizon Therapeutics plc
$31
Bioventus LLC
$21
Top 3 companies account for 81.5% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ACUFEX Meniscal Root Repair · ALLOGRAFT · AMBIENT HIPVAC · ATTUNE · AXSOS · Bioinductive Implant with Arthroscopic Delivery System - Medium · Bone Anchors with Arthroscopic Delivery System · DUEXIS · DYONICS 25 · Durolane · EUFLEXXA · EXPAREL · EXPRESSEW · FIRSTPASS · FLOW 50/90 · GAMMA · HEALICOIL · HEALICOIL PK Shoulder · HEALICOIL REGENESORB · LENS 4K · MICRORAPTOR Knotless Anchor · MICRORAPTOR Knotless Hip · MICRORAPTOR Knotless Shoulder · MONOVISC · MULTIFIX S · N/A · NOVOSTITCH · NovoStitch · ORTHOVISC · PENNSAID · Q-FIX · Q-FIX Shoulder · Q-Fix Mini · REAL INTELLIGENCE · REGENESORB · REUNION · RIGIDLOOP · Regeneten · SPATIAL FRAME · SYNVISC-ONE · T2 · TRUESPAN ORTHOCORD · TRUNAV · ULTRABUTTON · VARIAX · Zilretta
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a sports medicine physician in New City?
Compare sports medicine physicians in the New City area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Sports medicine physicians in nearby ZIP areas
54
County median income
$110,631
Nearest hospital to ZIP centroid (approximate)
HELEN HAYES HOSPITAL
4.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Gaines is a clinical cardiology specialist, with above-average Medicare volume (top 19% in NY), with 17 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Gaines experienced with hymovis intra-articular injection?
Based on Medicare claims data, Dr. Gaines performed 1,231 hymovis intra-articular injection services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Gaines receive payments from pharmaceutical companies?
Yes. Dr. Gaines received a total of $4,185 from 12 companies across 101 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Gaines's costs compare to other sports medicine physicians in New City?
Dr. Gaines's average Medicare payment per service is $39. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Gaines) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

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Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →