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

SAMUEL O ETCHIE M.D.
NPI 1124039052
Psychiatry & Neurology - Psychiatry in La Mesa, CA

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
7200 PARKWAY DR STE 113, LA MESA, CA 91942(619) 337-0455(619) 667-6059 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel O Etchie M.d. NPPES

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

SAMUEL O ETCHIE M.D. (NPI 1124039052) is an individual psychiatry provider in La Mesa, California, licensed in California (A53857) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1124039052
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSAMUEL O ETCHIECredential: M.D.
Location Address7200 PARKWAY DR STE 113La Mesa, CA 91942-1534
Mailing Address7770 Regents Rd, # 130San Diego, CA 92122-1937 · (619) 337-0455 · Fax (619) 667-6059
Phone(619) 337-0455
Fax(619) 667-6059
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateAugust 9, 2006
Last NPPES UpdateAugust 23, 2018
✔ NPI 1124039052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A53857
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.
7200 PARKWAY DR STE 113, La Mesa, CA 91942
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A538570CA

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

Samuel O Etchie M.d. 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 ID2769584853
PECOS Enrollment IDI20070220000463
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.

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,131 services101 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
411 services92 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
365 services236 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial 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.
70 services50 patients
Injection, fluphenazine decanoate, up to 25 mg J2680
Fluphenazine decanoate is a medication that is administered via injection, up to 25 mg, to manage symptoms of certain mental/mood conditions. It works by helping to restore the balance of natural substances in the brain.
45 services11 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital 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.
39 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

JOHN W. ALLEN, M.D.
Psychiatry & Neurology (Psychiatry)
7200 PARKWAY DR STE 113
LA MESA, CA 91942
San Diego County (619) 337-0455

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 Samuel Etchie's NPI number?

The NPI number for Samuel Etchie is 1124039052. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Samuel Etchie located?

Samuel Etchie practices at 7200 Parkway Dr Ste 113, La Mesa, CA 91942. The listed phone number is (619) 337-0455.

What is Samuel Etchie's specialty?

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

Is Samuel Etchie enrolled in Medicare?

Yes. Samuel Etchie 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 Samuel Etchie was last updated on August 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.