1. Home
  2. Directory
  3. California
  4. Roseville
  5. Psychiatry Neurology
  6. NPI Profile

DR. PRUDENCIO GABRIEL SAMSON MD
NPI 1013045863
Psychiatry & Neurology - Psychiatry in Roseville, CA

Active since March 02, 2007PECOS EnrolledAccepts Medicare Assignment
720 SUNRISE AVE STE 202C, ROSEVILLE, CA 95661(530) 341-2521 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Prudencio Gabriel Samson Md NPPES

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

DR. PRUDENCIO GABRIEL SAMSON MD (NPI 1013045863) is an individual psychiatry provider in Roseville, California, licensed in California (C53191) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1013045863
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PRUDENCIO GABRIEL SAMSONCredential: MD
Location Address720 SUNRISE AVE STE 202CRoseville, CA 95661-4509
Mailing Address720 Sunrise Ave Ste 202cRoseville, CA 95661-4509 · (860) 881-0878
Phone(530) 341-2521
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMarch 2, 2007
Last NPPES UpdateJanuary 23, 2018
✔ NPI 1013045863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CA · C53191✔ Licensed in CT · 034209
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
720 SUNRISE AVE STE 202C, Roseville, CA 95661
Open in Google Maps ↗

Other Names 1

Other Name (5)Gary Samson

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. Prudencio Gabriel Samson 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 ID1254435100
PECOS Enrollment IDI20081112000803
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

SAMSON PSYCHIATRY INC.
Psychiatry & Neurology (Psychiatry)
720 SUNRISE AVE STE 202C
ROSEVILLE, CA 95661
Placer County (530) 341-2521

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 Prudencio Samson's NPI number?

The NPI number for Prudencio Samson is 1013045863. It was assigned to this individual provider in the NPPES registry on March 2, 2007. The provider is also known as Gary Samson.

Where is Prudencio Samson located?

Prudencio Samson practices at 720 Sunrise Ave Ste 202C, Roseville, CA 95661. The listed phone number is (530) 341-2521.

What is Prudencio Samson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Prudencio Samson enrolled in Medicare?

Yes. Prudencio Samson 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.

When was this NPI record last updated?

The NPPES record for Prudencio Samson was last updated on January 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.