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DR. RYAN PEGOLO DC
NPI 1679199475
Chiropractor in Shelton, CT

Active since June 18, 2020
4 ARMSTRONG RD, SHELTON, CT 06484(203) 842-8631 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ryan Pegolo Dc NPPES

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

DR. RYAN PEGOLO DC (NPI 1679199475) is an individual chiropractor in Shelton, Connecticut, licensed in Connecticut (2188) and active in the NPI registry since June 2020. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1679199475
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RYAN PEGOLOCredential: DC
Location Address4 ARMSTRONG RDShelton, CT 06484-4721
Mailing Address4 Armstrong RdShelton, CT 06484-4721
Phone(203) 842-8631
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 18, 2020
NPPES CertifiedJune 18, 2020
✔ NPI 1679199475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CT · 2188
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.
4 ARMSTRONG RD, Shelton, CT 06484
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Pegolo Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395283097
PECOS Enrollment IDI20240813003701

Medicare Billing Reassignment

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

Achieve Improved Motion LLC
6.1 mi
Chiropractor
400 BOSTON POST RD
Orange, CT 06477
  • Reassigned Medicare billing, Connecticut enrollment
  • 2 clinicians in this Medicare group
NPI 1114533429 (203) 928-9455

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 8

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

GLORIA BIENKOWSKI
Nurse Anesthetist, Certified Registered
4 ARMSTRONG RD
SHELTON, CT 06484
Naugatuck Valley Planning Region (203) 929-7353
MEDICAL ANESTHESIOLOGY ASSOCIATES P.C
General Acute Care Hospital
4 ARMSTRONG RD
SHELTON, CT 06484
Naugatuck Valley Planning Region (203) 929-7353
SHELTON SPORTS & SPINE, PC
Chiropractor
4 ARMSTRONG RD
SHELTON, CT 06484
Naugatuck Valley Planning Region (203) 842-8631
SHELBY DONAHUE DC
Chiropractor
4 ARMSTRONG RD
SHELTON, CT 06484
Naugatuck Valley Planning Region (203) 842-8631
KARLENE CHISHOLM LMFT
Marriage & Family Therapist
4 ARMSTRONG RD
SHELTON, CT 06484
Naugatuck Valley Planning Region (203) 925-7727
RONAN JAMES ARMADA CRNA, APRN
Nurse Anesthetist, Certified Registered
4 ARMSTRONG RD
SHELTON, CT 06484
Naugatuck Valley Planning Region (203) 929-7353
MARY TUMAN M.D.
Anesthesiology
4 ARMSTRONG RD
SHELTON, CT 06484
Naugatuck Valley Planning Region (203) 929-7353
KRISTAL RENEE GARCIA
Massage Therapist
4 ARMSTRONG RD
SHELTON, CT 06484
Naugatuck Valley Planning Region (203) 842-8631

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 Ryan Pegolo's NPI number?

The NPI number for Ryan Pegolo is 1679199475. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Where is Ryan Pegolo located?

Ryan Pegolo practices at 4 Armstrong Rd, Shelton, CT 06484. The listed phone number is (203) 842-8631.

What is Ryan Pegolo's specialty?

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

Is Ryan Pegolo enrolled in Medicare?

Yes. Ryan Pegolo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryan Pegolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Pegolo reassigns Medicare benefits to Achieve Improved Motion LLC (Orange, CT). 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 Ryan Pegolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Pegolo accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Ryan Pegolo 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.

When was this NPI record last updated?

The NPPES record for Ryan Pegolo was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.