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MR. TYLER G GAGON DC, AC
NPI 1487145934
Chiropractor in Prescott Valley, AZ

Active since May 21, 2018
3088 N ROBERT RD, PRESCOTT VALLEY, AZ 86314(928) 775-0522(928) 775-5922 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2024, May 21, 2018 (2 updates tracked since 2018).

About Mr. Tyler G Gagon Dc, Ac NPPES

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

MR. TYLER G GAGON DC, AC (NPI 1487145934) is an individual chiropractor in Prescott Valley, Arizona, licensed in Arizona (9341) and active in the NPI registry since May 2018. He is a graduate of Logan College Of Chiropractic (2018).

NPPES Registry Identity

NPI1487145934
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. TYLER G GAGONCredential: DC, AC
Location Address3088 N ROBERT RDPrescott Valley, AZ 86314-8653
Mailing Address3088 N Robert RdPrescott Valley, AZ 86314-8653 · (928) 775-0522 · Fax (928) 775-5922
Phone(928) 775-0522
Fax(928) 775-5922
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2018
Enumeration DateMay 21, 2018
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
✔ NPI 1487145934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in AZ · 9341✔ Licensed in UT · 108041421202
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedAcupuncturistTaxonomy 171100000X · License 0631 (AZ)
3088 N ROBERT RD, Prescott Valley, AZ 86314
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Tyler G Gagon Dc, Ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163862863
PECOS Enrollment IDI20240429001713

Medicare Billing Reassignment

Medicare enrollment records show Tyler Gagon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prescott Valley Chiropractic LLC
Same address
Chiropractor
3088 N ROBERT RD
Prescott Valley, AZ 86314
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group
NPI 1366637746 (928) 775-0522

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 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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
563 services136 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
112 services37 patients

Other Providers at the Same Location NPPES 3

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

DR. JULIE ANN SCHIFFERLI DC
Chiropractor
3088 N ROBERT RD
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 775-0522
DR. ROBERT DEAN BADO D.C.
Chiropractor
3088 N ROBERT RD
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 775-0522
PRESCOTT VALLEY CHIROPRACTIC LLC
Chiropractor
3088 N ROBERT RD
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 775-0522

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 Tyler Gagon's NPI number?

The NPI number for Tyler Gagon is 1487145934. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Where is Tyler Gagon located?

Tyler Gagon practices at 3088 N Robert Rd, Prescott Valley, AZ 86314. The listed phone number is (928) 775-0522.

What is Tyler Gagon's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Tyler Gagon enrolled in Medicare?

Yes. Tyler Gagon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tyler Gagon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Gagon reassigns Medicare benefits to Prescott Valley Chiropractic LLC (Prescott Valley, AZ). 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 Tyler Gagon'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 Tyler Gagon was last updated on October 8, 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.