DR. GABRIEL AGBANYIM M.D.
NPI 1386938058
Family Medicine in Odenton, MD
NPI Status: Active since May 31, 2011
Contact Information
1110 ANNAPOLIS RD
ODENTON, MD
ZIP 21113
Phone: (443) 351-3917
Fax: (443) 351-3918
- Individual
- Male
- Years of Experience 15
- Family Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About GABRIEL AGBANYIM
This page provides the complete NPI Profile along with additional information for Gabriel Agbanyim, a primary care provider established in Odenton, Maryland with a medical specialization in Family Medicine and more than 15 years of experience. He graduated from Wayne State University School Of Medicine in 2011. The healthcare provider is registered in the NPI registry with number 1386938058 assigned on May 2011. The practitioner's primary taxonomy code is 207Q00000X with license number D0076254 (MD). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1386938058
- Provider Name
- DR. GABRIEL AGBANYIM M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1110 ANNAPOLIS RD ODENTON, MD 21113
- Location Phone
- (443) 351-3917
- Location Fax
- (443) 351-3918
- Mailing Address
- PO BOX 759047 BALTIMORE, MD 21275
- Mailing Phone
- (804) 968-5700
- Medical School Name
- WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2011
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-31-2011
- Last Update Date
- 09-13-2016
- Code Navigator
A primary care provider (PCP) like Gabriel Agbanyim sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D0076254
- License State
- MD
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- Blue POS 60/40 $6500 - POS
- Blue POS 70/50 $4550 - POS
- Blue POS 80/60 $3200 - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 352504ZDDB | MEDICARE PIN (08) | MD | |
| 325336YWV2 | MEDICARE PIN (08) | MD | |
| 352504YVZ | MEDICARE PIN (08) | MD |
Medicare Participation & PECOS Enrollment Status
Gabriel Agbanyim is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Gabriel Agbanyim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6800024472
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20150122000845, I20190322001834
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
3 DME suppliers used 78 Medicare Claims 78 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
3 DME suppliers used 78 Medicare Claims 78 Services Paid
DME-Wheelchairs (DD000N)
Standard wheelchair (HCPCS:K0001)
3 DME suppliers used 12 Medicare Claims 14 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Follow-up hospital inpatient care per day, typically 35 minutes
Hospital discharge day management, more than 30 minutes
Hospital observation care on day of discharge
Hospital observation or inpatient care admitted and discharged on the same day for high severity problem, typically 55 minutes
Initial hospital inpatient care per day, typically 70 minutes
Initial nursing facility visit per day, typically 45 minutes
Nursing facility discharge management, more than 30 minutes
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.
This service was performed 22 times for 12 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 15 times for 15 patientsFollow-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.
This service was performed 228 times for 87 patientsHospital 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.
This service was performed 111 times for 98 patientsHospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.
This service was performed 11 times for 11 patientsThis service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
This service was performed 26 times for 26 patientsInitial 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.
This service was performed 104 times for 91 patientsAn initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
This service was performed 14 times for 14 patientsNursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
This service was performed 15 times for 15 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.52 for a new patient copayment and $26.64 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 21113 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.08
- Minimum New Patient Price $60.73
- Maximum New Patient Price $183.44
- Average New Patient Copayment $23.52
- Minimum New Patient Copayment $15.18
- Maximum New Patient Copayment $45.86
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $106.59
- Minimum Established Patient Price $19.6
- Maximum Established Patient Price $149.17
- Average Established Patient Copayment $26.64
- Minimum Established Patient Copayment $4.9
- Maximum Established Patient Copayment $37.29
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 100% | 79 |
| 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 or provide an advance care plan | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Gabriel Agbanyim is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| BELLVILLE MEDICAL CENTER | 44 N CUMMINGS ST BELLVILLE, TX 77418 | (979) 865-3141 | Acute Care Hospitals | |
| WILBARGER GENERAL HOSPITAL | 920 HILLCREST DR VERNON, TX 76384 | (940) 552-9351 | Acute Care Hospitals | |
| EL CAMPO MEMORIAL HOSPITAL | 303 SANDY CORNER RD EL CAMPO, TX 77437 | (979) 578-5251 | Acute Care Hospitals | |
| REEVES COUNTY HOSPITAL DISTRICT | 2349 MEDICAL DRIVE PECOS, TX 79772 | (432) 447-3551 | Critical Access Hospitals |
Reviews for DR. GABRIEL AGBANYIM M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 8 | 6 | 9 | 3 | 8 | 0 | 5 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 18 | 3 | 16 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 1 + 8 + 3 + 1 + 6 + 0 + 1 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1386938058 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689937732 | PATIENT FIRST MARYLAND MEDICAL GROUP Organization | Non-Pharmacy Dispensing Site | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1407019862 | RYANE ALEXANDRA EDMONDS MD Individual | Family Medicine | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1942284401 | DR. WILLIAM STANLEY SYKORA M.D. Individual | Family Medicine | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1427485515 | LILIT VARDANYAN PA Individual | Physician Assistant | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1962887901 | CALLA ZELAZNY PA-C Individual | Physician Assistant | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1740256940 | SUZANNE H. TAYLOR PA-C Individual | Physician Assistant (Medical) | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1871090985 | KAYLA M JONES PA-C Individual | Physician Assistant | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1124048228 | MELISSA NEDELKA ANDERSON M.D. Individual | Internal Medicine | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1285005389 | SUSAN ARNOLD PA-C Individual | Physician Assistant | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1801238902 | CARA ELIZABETH ARCIDIACONO PA-C Individual | Physician Assistant | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1356599740 | HALCYEANE THEODORA DARDAINE MD Individual | Family Medicine | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1679723274 | OLABISI L EMENANJO PA-C Individual | Physician Assistant | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1003251158 | JEAN MASOSO MD Individual | Family Medicine | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1598108318 | DR. PHILIP LAURENCE MUSSENDEN JR. M.D. Individual | Family Medicine | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1134634538 | ANNIE VANESSA MOUAFO NP-FAMILY Individual | Nurse Practitioner (Family) | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1730872151 | ISABELLA VICTORIA WHITE Individual | Physician Assistant | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1568975977 | UMER FAROOQ MD Individual | Family Medicine | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1407147366 | CHRISTINA MARIE THURSTON PA-C Individual | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 | |
| 1154987170 | MOUSSON BERROUET DO Individual | Family Medicine | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
| 1609358944 | MS. KERRY ANN MARTIN PA-C Individual | Physician Assistant | 1110 ANNAPOLIS RD ODENTON, MD 21113 (443) 351-3917 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386938058, enumerated in the NPI registry as an "individual" on May 31, 2011
The provider is located at 1110 Annapolis Rd Odenton, Md 21113 and the phone number is (443) 351-3917
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider has more than 15 years of experience. He graduated from Wayne State University School Of Medicine in 2011.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, HMO. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $94.08 with an average copayment of $23.52 for new patient appointments. Established patients should expect a typical charge of $106.59 and an average copayment of 26.64. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity, Follow-up hospital inpatient care per day, typically 35 minutes, Hospital discharge day management, more than 30 minutes, Hospital observation care on day of discharge, Hospital observation or inpatient care admitted and discharged on the same day for high severity problem, typically 55 minutes, Initial hospital inpatient care per day, typically 70 minutes, Initial nursing facility visit per day, typically 45 minutes and Nursing facility discharge management, more than 30 minutes.
The practitioner is affiliated to the following hospital(s): BELLVILLE MEDICAL CENTER, WILBARGER GENERAL HOSPITAL, EL CAMPO MEMORIAL HOSPITAL and REEVES COUNTY HOSPITAL DISTRICT. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on May 31, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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