The Doctor

Dr. Richard Gayles

Dr. Richard Gayles brings a wealth of training and experience to Nona Medical Arts. He received a Bachelor of Science in Psychobiology from the University of Michigan in 1987 and his Doctor of Medicine in 1991 at the University of Michigan’s School of Medicine. After graduation, Richard completed an anesthesia residency in the Department of Anesthesiology and Critical Care Medicine at Johns Hopkins Hospital in Maryland.

Dr. Gayles obtained further clinical experience in anesthesiology and critical care at St. Bartholomew’s Hospital in London, England as a visiting registrar. He subsequently completed a Chronic Pain Fellowship at the Cleveland Clinic Foundation in Ohio, where he was awarded the “Fellow of the Year Award” in June of 1997.

Dr. Gayles is board certified in Anesthesiology and has been awarded certification for pain medicine by the American Board of Anesthesiology, American Board of Pain Medicine, and American Academy of Pain Management. In November of 2016 Dr. Gayles is volunteer assistant professor at UCF College of Medicine.



  • 08/83-06/87

University of Michigan
Ann Arbor, Michigan

Bachelor of Science

  • 08/87-06/91

University of Michigan
School of Medicine
Ann Arbor, Michigan

Doctor of Medicine


  • 07/91-06/92

St. John’s Hospital
Detroit, Michigan

  • 07/92-06/95

Johns Hopkins Hospital
Department of Anesthesiology and Critical Care Medicine
Baltimore, Maryland

  • 01/95-07/95

Johns Hopkins Hospital
Department of Anesthesiology and Critical Care Medicine
Baitimore, Maryland
Pediatric Anesthesia Fellowship

  • 07/95-06/96

St. Bartholomew’s Hospital
Department of Anesthetics
London, UK
Visiting Registrar/Senior Registrar

  • 07/96-06/97

Cleveland Clinic Foundation
Cleveland, Ohio
Chronic Pain Fellowship
Awarded “Fellow of the Year” 1997

  • 07/97-10/05

Space Coast Pain Institute
Central Space Coast Anesthesia
Cape Canaveral Hospital
Department of Anesthesia and Chronic Pain Management
Cocoa Beach, Florida
Attending anesthesiologist, specializing in pain management

  • 11/02-7/2015

The Pain Institute
Merritt Island, Florida
Practice limited to pain management
Practice sold to Surgery partners 7/2015

  • 7/2015-Present

Employee of Surgery Partners
Practice limited to pain management


  • National Board of Medicine Examiners
  • Basic and Advanced Cardiac Life Support, American Heart Association.
  • American Academy of Pain Management
  • Board Certification in Anesthesia
  • American Board of Pain Medicine
  • ABA Special Qualifications in Pain Management




  • American Medical Association
  • American Society of Anesthesiologists
  • RSD Syndrome Association of America
  • International Neuromodulation Society
  • International Spinal Injection Society


FAA- Aero Medical Examiner
Angel Flight South East
Medtronic- Intrathecal pump and Spinal Cord Stimulator implant consultant


  • 1986-1987

Veterans Administration Hospital, Department of Neurology, Ann Arbor,
Michigan. Assisted in research to isolate motor neurotrophic factors.

  • 1988

University of Michigan Medical School, Department of Physiology, Ann
Arbor, Michigan. Measured effects of blood glucose modulation on
spinal cord ischemia in rat models. Studied effects of free radical
scavengers on severity of spinal cord ischemia in rat models.

  • 1996-1996

St. Bartholomew’s Hospital, Department of Anesthetics. Studied the
effect of Tramadol on the depth of anesthesia (isoflurane and nitrous
oxide) as measured by two electrode EEG. “Does tramadol lighten depth
of anesthesia during isoflurane anesthesia?” (Abstract)8th

  • 1996-1997

World Congress on Pain, Vancouver, BC, Canada, August 1996.

  • 2004-2005

Multi-center Clinical trial with intrathecal Ziconitide for neuropathic
pain in cooperation with Elan Pharmaceuticals.

  • 2005

Prospective trial utilizing percutaneous disc decompression for axial
thoracic and lumbar back pain in cooperation with Stryker Medical.

  • 2006-2010

Dual octrode study and trial triple array study with ANS.
Low Back Pain Outcomes Registry (LoBaPor).

  • 2011-present

Dual octrode study and trial triple array study with Medtronic
Implantable System Performance Registry (1.S.P.R.) Medtronic Device
Registry Study
Photo Med Study- Variable Wave Length Light for treatment of Neuropathic

  • 2013-2014

Medtronic Sub Q Stim study- Multicenter evaluation of efficacy
subcutaneous electrical stimulation for axial back pain.

  • 2013-2014

Value of genetic testing for opioid therapy. Millenium Labs, PL.

  • 2014- 2015

1. PRISM study evaluation of intrathecal ziconitide for chronic
pain sponsored by Jazz Pharma
2. SPEPS Trial. Device trial for percutaneous decompression of the
ligamentum flavum hypertrophy producing lumbar stenosis.
3. Intrathecal Hydromorphone efficacy trial.
4. Vertos study evaluating efficacy of percutaneous ligamentum flavum

  • 2015- present

Grunenthal KF7013-01 study assessing the efficacy of Nidrionate for
treatment of CRPS(RSD).


Bruehl S, Harden RN, Galer BS, Saltz S, Bertram M, Backonja M,
Gayles Reports, Rudin N, Bhugra MK, Stanton-Hicks M, External
Validation of IASP diagnostic criteria for Complex Regional Pain
Syndrome and the proposed research diagnostic criteria. Intermational
Association for the Study of Pain. Pain. 1999 May:81 (1-2):147-54.


12/11/97. Cable Channel 56 WIRB Palm Bay Florida. “New modalities
in pain management.

05/24/00. Cape Canaveral Hospital nurses continuing medical education
series “Basic Mechanisms of Acute and Chronic Pain.”

05/2003. Cape Canaveral Hospital nurses continuing medical education
series “Discography”

05/2004. Cape Canaveral Hospital nursing continuing medical education
series. “Modalities in chronic pain management

04/2007. Nursing CEU, Implantable technology.