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MARY SUSAN GABLE MD
NPI 1104118637
Psychiatry & Neurology - Psychiatry in El Dorado Hills, CA

Active since May 02, 2011PECOS Enrolled
529 GROTH CT, EL DORADO HILLS, CA 95762(408) 309-6370 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2025, Jun 13, 2019 (2 updates tracked since 2019).

About Mary Susan Gable Md NPPES

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

MARY SUSAN GABLE MD (NPI 1104118637) is an individual psychiatry provider in El Dorado Hills, California, licensed in California (A105881) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in El Dorado Hills.

NPPES Registry Identity

NPI1104118637
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMARY SUSAN GABLECredential: MD
Location Address529 GROTH CTEl Dorado Hills, CA 95762-9424
Mailing Address21206 Sarahills DrSaratoga, CA 95070-4869 · (408) 867-0195 · Fax (408) 877-1701
Phone(408) 309-6370
Sole ProprietorYes
Enumeration DateMay 2, 2011
Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1104118637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A105881
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License A105881 (CA)
529 GROTH CT, El Dorado Hills, CA 95762
Open in Google Maps ↗

Secondary Practice Location 1

Location 15170 Golden Foothill PkwyEl Dorado Hills, CA 95762-9608 · Phone (916) 314-3822

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Susan Gable Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

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

County Of Sonoma
84 mi
Mental Health (Including Community Mental Health Center)
19080 LOMITA AVE
Sonoma, CA 95476
  • Reassigned Medicare billing, California enrollment
  • 64 clinicians in this Medicare group
NPI 1598979031 (707) 565-4950

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95762 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.

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 Mary Gable's NPI number?

The NPI number for Mary Gable is 1104118637. It was assigned to this individual provider in the NPPES registry on May 2, 2011.

Where is Mary Gable located?

Mary Gable practices at 529 Groth Ct, El Dorado Hills, CA 95762. The listed phone number is (408) 309-6370.

What is Mary Gable's specialty?

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

Is Mary Gable enrolled in Medicare?

Yes. Mary Gable is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Gable's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Gable reassigns Medicare benefits to County Of Sonoma (Sonoma, CA). 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 Mary Gable'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 Mary Gable was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.