ERGI O GUMUSANELI MD
NPI 1225283260
Psychiatry & Neurology - Psychiatry in Payson, AZ
About Ergi O Gumusaneli Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERGI O GUMUSANELI MD (NPI 1225283260) is an individual psychiatry provider in Payson, Arizona, licensed in Colorado (48431) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with Central Vermont Medical Center, and maintains a secondary practice location in La Junta.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ergi O Gumusaneli 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.
Medicare Billing Reassignments
5Medicare enrollment records show Ergi Gumusaneli reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Junction, CO 81501
- Reassigned Medicare billing, Colorado enrollment
- 6 clinicians in this Medicare group
Boulder, CO 80302
- Reassigned Medicare billing, Colorado enrollment
- 283 clinicians in this Medicare group
Evansville, IN 47714
- Reassigned Medicare billing, Indiana enrollment
- 112 clinicians in this Medicare group
Londonderry, VT 05148
- Reassigned Medicare billing, Vermont enrollment
- Also billed through NPI 1033225875 (Vermont)
- 39 clinicians in this Medicare group
Brattleboro, VT 05302
- Reassigned Medicare billing, Vermont enrollment
- 110 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Central Vermont Medical Center
Acute Care Hospitals · Barre, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85541 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ergi Gumusaneli's NPI number?
The NPI number for Ergi Gumusaneli is 1225283260. It was assigned to this individual provider in the NPPES registry on November 18, 2008.
Where is Ergi Gumusaneli located?
Ergi Gumusaneli practices at 600 E State Highway 260, Payson, AZ 85541. The listed phone number is (303) 808-5566.
What is Ergi Gumusaneli's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Ergi Gumusaneli enrolled in Medicare?
Yes. Ergi Gumusaneli 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.
Which organizations bill Medicare for Ergi Gumusaneli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ergi Gumusaneli reassigns Medicare benefits to 5 organizations: Caritas Health Associates LLC (Grand Junction, CO), Boulder Community Health (Boulder, CO), State Of Indiana Auditor Of State (Evansville, IN), Springfield Hospital Inc (Londonderry, VT) and Brattleboro Retreat (Brattleboro, VT). Each 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 Ergi Gumusaneli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ergi Gumusaneli affiliated with any hospitals?
According to CMS data, Ergi Gumusaneli is affiliated with Central Vermont Medical Center.
When was this NPI record last updated?
The NPPES record for Ergi Gumusaneli was last updated on February 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ergi O Gumusaneli, MD · NPI 1225283260
Psychiatry physician in Payson, Arizona. Individual provider, active in the CMS NPPES registry since November 18, 2008.
## Identity
- **NPI:** 1225283260 (Entity type: Individual)
- **Enumerated:** November 18, 2008
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 48431 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 600 E STATE HIGHWAY 260, Payson, AZ 85541-4935
- **Phone:** (303) 808-5566
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Caritas Health Associates LLC (NPI 1487397642, Grand Junction, CO); Boulder Community Health (NPI 1588319263, Boulder, CO); State Of Indiana Auditor Of State (NPI 1235250788, Evansville, IN); Springfield Hospital Inc (NPI 1932565611, Londonderry, VT); Brattleboro Retreat (NPI 1730185232, Brattleboro, VT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** February 18, 2022
- **Other identifiers:** Medicaid 9000102175 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1225283260) · Data from the CMS NPPES public registry.