DR. BYRON ETHAN GAMBOL AGAPAY DC
NPI 1164053153
Chiropractor in Raleigh, NC
About Dr. Byron Ethan Gambol Agapay Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BYRON ETHAN GAMBOL AGAPAY DC (NPI 1164053153) is an individual chiropractor in Raleigh, North Carolina, licensed in Oregon (6061) and active in the NPI registry since January 2020.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Byron Ethan Gambol Agapay Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Byron Ethan Agapay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Raleigh, NC 27615
- Reassigned Medicare billing, North Carolina enrollment
- 6 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.
Other Providers at the Same Location NPPES 2
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 Byron Ethan Agapay's NPI number?
The NPI number for Byron Ethan Agapay is 1164053153. It was assigned to this individual provider in the NPPES registry on January 29, 2020.
Where is Byron Ethan Agapay located?
Byron Ethan Agapay practices at 8515 Falls Of Neuse Rd, Raleigh, NC 27615. The listed phone number is (919) 582-7057.
What is Byron Ethan Agapay's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Byron Ethan Agapay enrolled in Medicare?
Yes. Byron Ethan Agapay is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Byron Ethan Agapay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Byron Ethan Agapay reassigns Medicare benefits to Life Clinic Of Nc PC (Raleigh, NC). 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 Byron Ethan Agapay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Byron Ethan Agapay was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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. Byron Ethan Gambol Agapay, DC · NPI 1164053153
Chiropractor provider in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since January 29, 2020.
## Identity
- **NPI:** 1164053153 (Entity type: Individual)
- **Enumerated:** January 29, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 6061 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8515 FALLS OF NEUSE RD, Raleigh, NC 27615-3513
- **Phone:** (919) 582-7057
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Life Clinic Of Nc PC (NPI 1437650843, Raleigh, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164053153) · Data from the CMS NPPES public registry.