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AREGAI ABAY GIRMAY MD
NPI 1295731271
Family Medicine in Gastonia, NC

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
93.24/100
CMS Quality Rating
991 W HUDSON BLVD, GASTONIA, NC 28052(704) 853-5079(704) 853-5269 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2025, Oct 16, 2019 (2 updates tracked since 2019).

About Aregai Abay Girmay Md NPPES

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

AREGAI ABAY GIRMAY MD (NPI 1295731271) is an individual family medicine provider in Gastonia, North Carolina, licensed in North Carolina (9701371) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1992).

NPPES Registry Identity

NPI1295731271
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameAREGAI ABAY GIRMAYCredential: MD
Location Address991 W HUDSON BLVDGastonia, NC 28052-6430
Mailing Address200 E 2nd AveGastonia, NC 28052-4358 · (704) 874-1900
Phone(704) 853-5079
Fax(704) 853-5269
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1992
Enumeration DateJune 23, 2005
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1295731271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 9701371
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
991 W HUDSON BLVD, Gastonia, NC 28052
Open in Google Maps ↗

Other Identifiers 1

Medicaid8910794NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Aregai Abay Girmay 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 ID5890736763
PECOS Enrollment IDI20050603000551
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.

Areas of Expertise CMS Part B claims 2

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.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
23 services14 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
19 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28052 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.24
Promoting Interoperability100
Improvement Activities40

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.

MRS. LISA AUSTIN PRESNELL RNC-OB
Registered Nurse (Obstetric, High-Risk)
991 W HUDSON BLVD
GASTONIA, NC 28052
Gaston County (704) 853-5000
MRS. RESHAUNE AMANDA ROSSER RN,BSN
Registered Nurse (Women's Health Care, Ambulatory)
991 W HUDSON BLVD
GASTONIA, NC 28052
Gaston County (704) 862-5316
MRS. RONDA STILES RN
Registered Nurse (Administrator)
991 W HUDSON BLVD
GASTONIA, NC 28052
Gaston County (704) 853-5099
DR. IRVIN R BONNIN MD
Obstetrics & Gynecology (Gynecology)
991 W HUDSON BLVD
GASTONIA, NC 28052
Gaston County (704) 853-5000
ASHLYE BEAVER RN
Registered Nurse
991 W HUDSON BLVD
GASTONIA, NC 28052
Gaston County (704) 853-5142
SHEIVA MILLS
Registered Nurse (Community Health)
991 W HUDSON BLVD
GASTONIA, NC 28052
Gaston County (704) 853-5000
JEIDY MERCEDES CRAWFORD LCSW
Social Worker (Clinical)
991 W HUDSON BLVD
GASTONIA, NC 28052
Gaston County (704) 853-5079
BEVERLY BAKER RN
Registered Nurse
991 W HUDSON BLVD
GASTONIA, NC 28052
Gaston County (704) 853-5180

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 Aregai Girmay's NPI number?

The NPI number for Aregai Girmay is 1295731271. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Aregai Girmay located?

Aregai Girmay practices at 991 W Hudson Blvd, Gastonia, NC 28052. The listed phone number is (704) 853-5079.

What is Aregai Girmay's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Aregai Girmay enrolled in Medicare?

Yes. Aregai Girmay 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 Aregai Girmay accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Aregai Girmay 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.

Is Aregai Girmay affiliated with any hospitals?

According to CMS data, Aregai Girmay is affiliated with Caromont Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Aregai Girmay was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.