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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GABRIEL AGBANYIM M.D.
NPI 1386938058
Family Medicine in Sugar Land, TX

Active since May 31, 2011PECOS EnrolledAccepts Medicare Assignment
5501 CABRERA DR STE 503, SUGAR LAND, TX 77479(713) 818-4809 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Sep 13, 2016 (2 updates tracked since 2016).

About Dr. Gabriel Agbanyim M.d. NPPES

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

DR. GABRIEL AGBANYIM M.D. (NPI 1386938058) is an individual family medicine provider in Sugar Land, Texas, licensed in Maryland (D0076254) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Corpus Christi, and maintains a secondary practice location in El Campo.

NPPES Registry Identity

NPI1386938058
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GABRIEL AGBANYIMCredential: M.D.
Location Address5501 CABRERA DR STE 503Sugar Land, TX 77479-7264
Mailing Address2006 Morton Cove CtRichmond, TX 77469-2456
Phone(713) 818-4809
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2011
Enumeration DateMay 31, 2011
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1386938058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MD · D0076254✔ Licensed in TX · R9461
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.
5501 CABRERA DR STE 503, Sugar Land, TX 77479
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Secondary Practice Location 1

Location 1303 Sandy Corner RdEl Campo, TX 77437-9535 · Phone (979) 543-6251

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas 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. Gabriel Agbanyim M.d. 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 ID6800024472
PECOS Enrollment IDI20150122000845, I20190322001834
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
252 services97 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
149 services127 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
109 services97 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
64 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services15 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Christus Spohn Hospital Corpus Christi

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450046
Location600 Elizabeth StreetCorpus Christi, TX 78404 · Nueces County
Emergency services Birthing friendly

Columbus Community Hospital

Acute Care Hospitals · Columbus, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450370
Location110 Shult DrColumbus, TX 78934 · Colorado County
Emergency services Birthing friendly

Scenic Mountain Medical Center, A Steward Family H

Acute Care Hospitals · Big Spring, TX
OwnershipProprietary
CMS Certification Number450653
Location1601 W 11th PlaceBig Spring, TX 79720 · Howard County
Emergency services Birthing friendly

El Campo Memorial Hospital

Acute Care Hospitals · El Campo, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number450694
Location303 Sandy Corner RdEl Campo, TX 77437 · Wharton County
Emergency services

Reeves County Hospital District

Critical Access Hospitals · Pecos, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451377
Location2349 Medical DrivePecos, TX 79772 · Reeves County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%79 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers78 claims78 services$19.14 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers78 claims78 services$107.13 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers12 claims14 services$27.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

NOVARA HEALTHCARE, PLLC
Clinic/Center (Multi-Specialty)
5501 CABRERA DR STE 503
SUGAR LAND, TX 77479
Fort Bend County (443) 401-5544

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 Gabriel Agbanyim's NPI number?

The NPI number for Gabriel Agbanyim is 1386938058. It was assigned to this individual provider in the NPPES registry on May 31, 2011.

Where is Gabriel Agbanyim located?

Gabriel Agbanyim practices at 5501 Cabrera Dr Ste 503, Sugar Land, TX 77479. The listed phone number is (713) 818-4809.

What is Gabriel Agbanyim's specialty?

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

Is Gabriel Agbanyim enrolled in Medicare?

Yes. Gabriel Agbanyim 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 Gabriel Agbanyim accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, HMO Louisiana and Molina Healthcare list Gabriel Agbanyim 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 Gabriel Agbanyim affiliated with any hospitals?

According to CMS data, Gabriel Agbanyim is affiliated with Christus Spohn Hospital Corpus Christi, Columbus Community Hospital, Scenic Mountain Medical Center, A Steward Family H, El Campo Memorial Hospital and Reeves County Hospital District.

When was this NPI record last updated?

The NPPES record for Gabriel Agbanyim was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.