DR. BENJAMIN ERNEST GAINES MD
NPI 1306839022
Obstetrics & Gynecology in Worthington, MN
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Benjamin Gaines reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worthington, MN 56187
- Reassigned Medicare billing, Minnesota enrollment
- 75 clinicians in this Medicare group
Worthington, MN 56187
- Reassigned Medicare billing, Minnesota enrollment
- 92 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Benjamin Gaines's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Gaines reassigns Medicare benefits to 2 organizations: Avera Mckennan (Worthington, MN) and Rural Health Care, Inc (Worthington, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Gaines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Gaines accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Sanford Health Plan and 1 other insurer 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.
# Dr. Benjamin Ernest Gaines, MD · NPI 1306839022
Obstetrics & Gynecology physician in Worthington, Minnesota. Individual provider, active in the CMS NPPES registry since August 28, 2005.
## Identity
- **NPI:** 1306839022 (Entity type: Individual)
- **Enumerated:** August 28, 2005
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 58339 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1216 RYANS RD, Worthington, MN 56187-1722
- **Phone:** (507) 372-2921 · **Fax:** (507) 372-5789
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Avera Mckennan (NPI 1306939806, Worthington, MN); Rural Health Care, Inc (NPI 1215317375, Worthington, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Howard University College Of Medicine, class of 1983
## Record status
- **NPPES last updated:** June 3, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1306839022) · Data from the CMS NPPES public registry.