DR. ELLIS BENJAMIN GARDNER MD FAAP
NPI 1932130630
Internal Medicine in Canaan, NH
About Dr. Ellis Benjamin Gardner Md Faap NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELLIS BENJAMIN GARDNER MD FAAP (NPI 1932130630) is an individual internal medicine provider in Canaan, New Hampshire, licensed in New Hampshire (10330) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and maintains a secondary practice location in Enfield.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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. Ellis Benjamin Gardner Md Faap 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 Reassignment
Medicare enrollment records show Ellis Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Canaan, NH 03741
- Reassigned Medicare billing, New Hampshire enrollment
- 9 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mary Hitchcock Memorial Hospital
Acute Care Hospitals · Lebanon, NHAlice Peck Day Memorial Hospital
Critical Access Hospitals · Lebanon, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 03741 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CANAAN, NH 03741
CANAAN, NH 03741
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 Ellis Gardner's NPI number?
The NPI number for Ellis Gardner is 1932130630. It was assigned to this individual provider in the NPPES registry on July 5, 2006.
Where is Ellis Gardner located?
Ellis Gardner practices at 18 Roberts Rd, Canaan, NH 03741. The listed phone number is (603) 934-1464.
What is Ellis Gardner's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ellis Gardner enrolled in Medicare?
Yes. Ellis Gardner 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 organization bills Medicare for Ellis Gardner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellis Gardner reassigns Medicare benefits to Mascoma Community Healthcare Inc (Canaan, NH). The 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 Ellis Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ellis Gardner affiliated with any hospitals?
According to CMS data, Ellis Gardner is affiliated with Mary Hitchcock Memorial Hospital and Alice Peck Day Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Ellis Gardner was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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. Ellis Benjamin Gardner, MD FAAP · NPI 1932130630
Internal Medicine physician in Canaan, New Hampshire. Individual provider, active in the CMS NPPES registry since July 5, 2006.
## Identity
- **NPI:** 1932130630 (Entity type: Individual)
- **Enumerated:** July 5, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 10330 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 18 ROBERTS RD, Canaan, NH 03741-7644
- **Phone:** (603) 934-1464
## 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:** Mascoma Community Healthcare Inc (NPI 1497298087, Canaan, NH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** December 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1932130630) · Data from the CMS NPPES public registry.