Dr. Michael Andrew Gainer , MD
Orthopaedic Surgery - Hand Surgery โข Springfield, IL
1301 S Koke Mill Rd
Springfield, IL 627119252
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Dr. Michael Gainer is listed in NPPES under Orthopaedic Surgery - Hand Surgery.
-
NPI assigned on March 28, 2006; this date does not establish years in practice.
-
Published CMS data list 957 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- J3301 โ Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 358 service units.
- 99213 โ Established patient outpatient office visit: 142 service units.
- 73110 โ X-ray of wrist, minimum of 3 views: 74 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 15 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 114 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 114 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
-
Fewer Medicare Part B services than 65% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Illinois (2024, 99 clinicians with data). Median for this group: 1,855. Middle half: 848 to 3,409.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 1,190 in 2020 to 957 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1301 S Koke Mill Rd
Springfield, IL 627119252
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Orthopaedic Center Of Il. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Southern Illinois University School Of Medicine
1995
What Public CMS Data Show
Orthopaedic Surgery - Hand Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
267 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $56,191 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $40,752 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
114 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$741 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $146.86 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
31 years (graduated 1995)
CMS Doctors and Clinicians data list 1995 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Gainer has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Gainer as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Springfield and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 65% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Illinois (2024, 99 clinicians with data). Median for this group: 1,855. Middle half: 848 to 3,409.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Springfield have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Illinois (2024, 99 clinicians with data). Median for this group: $114,285. Middle half: $55,617 to $179,043.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Springfield have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Illinois (2024, 99 clinicians with data). Median for this group: $85,042. Middle half: $40,070 to $132,361.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Springfield have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Orthopaedic Surgery - Hand Surgery in Illinois (2024, 89 clinicians with data). Median for this group: 114. Middle half: 44 to 218.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Springfield have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Orthopaedic Surgery - Hand Surgery in Illinois (2024, 89 clinicians with data). Median for this group: $518. Middle half: $154 to $1,304.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Springfield have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under Orthopaedic Surgery - Hand Surgery with a practice address in Springfield, IL (129 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services decreased 20% from 1,190 in 2020 to 957 in 2024.
- 2020: 1,190
- 2021: 1,308
- 2022: 1,303
- 2023: 1,052
- 2024: 957
-
Medicare-allowed amount
Medicare-allowed amount stayed about the same: $60,611 in 2020 and $56,191 in 2024.
- 2020: $60,611
- 2021: $69,241
- 2022: $67,737
- 2023: $59,085
- 2024: $56,191
-
Paid by Medicare
Paid by Medicare stayed about the same: $43,432 in 2020 and $40,752 in 2024.
- 2020: $43,432
- 2021: $49,644
- 2022: $48,040
- 2023: $42,606
- 2024: $40,752
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 73% from 66 in 2020 to 114 in 2024.
- 2020: 66
- 2021: 76
- 2022: 82
- 2023: 103
- 2024: 114
-
30-day fills
30-day fills increased 73% from 66 in 2020 to 114 in 2024.
- 2020: 66
- 2021: 76
- 2022: 82
- 2023: 103
- 2024: 114
-
Part D drug cost
Part D drug cost went from $444 in 2020 to $741 in 2024.
- 2020: $444
- 2021: $609
- 2022: $486
- 2023: $594
- 2024: $741
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $20.90 in 2021 to $146.86 in 2025.
- 2021: $20.90
- 2022: $12.22
- 2023: $139.89
- 2024: $164.60
- 2025: $146.86
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $146.86.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
|
NA | General | $146.86 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
358 | 57 | $20.92 | $0.97 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
142 | 119 | $175.23 | $83.46 |
|
73110
X-ray of wrist, minimum of 3 views
|
74 | 44 | $105.54 | $36.38 |
|
20550
Injection into tendon or ligament
|
56 | 45 | $252.79 | $50.88 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
52 | 52 | $224.12 | $102.55 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
45 | 42 | $248.06 | $116.47 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
43 | 38 | $109.16 | $51.87 |
|
73140
X-ray of finger, minimum of 2 views
|
31 | 24 | $98.37 | $34.38 |
|
73130
X-ray of hand, minimum of 3 views
|
30 | 21 | $98.48 | $33.60 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
29 | 29 | $333.59 | $153.89 |
|
64721
Release and/or relocation of hand nerve
|
26 | 23 | $1313.00 | $379.33 |
|
20600
Aspiration and/or injection of fluid from small joint
|
24 | 13 | $307.23 | $54.17 |
|
Q4010
Cast supplies, short arm cast, adult (11 years +), fiberglass
|
18 | 14 | $71.40 | $22.06 |
|
26055
Incision of tendon covering of finger
|
17 | 15 | $1454.00 | $220.54 |
|
25600
Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation
|
12 | 12 | $1129.80 | $316.82 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 114 | 363 | $740.81 | 98 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-08-06NUCC Taxonomy Code: 207XS0106X
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - HAND SURGERY
I20250703002891
IL
2769463132
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Orthopaedic Center Of Il
1301 S Koke Mill Rd, Springfield, IL 627119252
Phone: 2175479100
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Surgical
Physician Assistant
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Physical Therapist
Doctor of Physical Therapy
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Orthopaedic Surgery (license number reported to NPPES: IL 036.103413)
Registered at 1301 S KOKE MILL RD, SPRINGFIELD, IL 627119252 (Tel: 2175479230)
Registered at 1301 S KOKE MILL RD, SPRINGFIELD, IL 627119252 (Tel: 2175479100)
NPI status registered as active in NPPES database
Registered at 450 LAUREL ST, STE. A, DES MOINES, IA 503143045 (Tel: 5152478400)
Registered at 450 LAUREL ST, STE. A, DES MOINES, IA 503143045 (Tel: 5152478400)
Recorded as MICHAEL GAINER, M.D.
Orthopaedic Surgery (license number reported to NPPES: IA 36018)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
1301 S Koke Mill Rd
Springfield, IL 627119252
Phone: 2175479100