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DR. BENJAMIN ERNEST GAINES MD
NPI 1306839022
Obstetrics & Gynecology in Worthington, MN

Active since August 28, 2005PECOS EnrolledAccepts Medicare Assignment
1216 RYANS RD, WORTHINGTON, MN 56187(507) 372-2921(507) 372-5789 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Benjamin Ernest Gaines Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BENJAMIN ERNEST GAINES MD (NPI 1306839022) is an individual obstetrics & gynecology provider in Worthington, Minnesota, licensed in Minnesota (58339) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (1983).

NPPES Registry Identity

NPI1306839022
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. BENJAMIN ERNEST GAINESCredential: MD
Location Address1216 RYANS RDWorthington, MN 56187-1722
Mailing Address1216 Ryans RdWorthington, MN 56187-1722 · (507) 372-2921 · Fax (507) 372-5789
Phone(507) 372-2921
Fax(507) 372-5789
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1983
Enumeration DateAugust 28, 2005
Last NPPES UpdateJune 3, 2015
✔ NPI 1306839022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MN · 58339
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1216 RYANS RD, Worthington, MN 56187
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Benjamin Ernest Gaines Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234182056
PECOS Enrollment IDI20150112000403
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56187 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LARRY D FOSTER DO
Family Medicine
1216 RYANS RD
WORTHINGTON, MN 56187
Nobles County (507) 372-2921
KEITH A TOWNE MD
Internal Medicine
1216 RYANS RD
WORTHINGTON, MN 56187
Nobles County (507) 372-2921
AVERA MCKENNAN
Clinic/Center
1216 RYANS RD, SUITE 1
WORTHINGTON, MN 56187
Nobles County (507) 372-2921
CONNIE L MORRISON MD
Surgery
1216 RYANS RD, SUITE 1
WORTHINGTON, MN 56187
Nobles County (507) 372-2921
LAURA J FODNESS CNP
Nurse Practitioner (Family)
1216 RYANS RD
WORTHINGTON, MN 56187
Nobles County (507) 372-2921
JAMES D HARRIS MD
Surgery
1216 RYANS RD
WORTHINGTON, MN 56187
Nobles County (507) 372-2921
AVERA MCKENNAN
Family Medicine
1216 RYANS RD, SUITE 1
WORTHINGTON, MN 56187
Nobles County (507) 372-2921
MARK F LUDES DO
Pediatrics
1216 RYANS RD
WORTHINGTON, MN 56187
Nobles County (507) 372-2921

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Gaines's NPI number?

The NPI number for Benjamin Gaines is 1306839022. It was assigned to this individual provider in the NPPES registry on August 28, 2005.

Where is Benjamin Gaines located?

Benjamin Gaines practices at 1216 Ryans Rd, Worthington, MN 56187. The listed phone number is (507) 372-2921.

What is Benjamin Gaines's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Benjamin Gaines enrolled in Medicare?

Yes. Benjamin Gaines is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Benjamin Gaines accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 2 other insurers list Benjamin Gaines as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Gaines was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.