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ERGI O GUMUSANELI MD
NPI 1225283260
Psychiatry & Neurology - Psychiatry in Payson, AZ

Active since November 18, 2008PECOS EnrolledAccepts Medicare Assignment
600 E STATE HIGHWAY 260, PAYSON, AZ 85541(303) 808-5566 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2022, Mar 26, 2020, Nov 16, 2016 and 1 more (4 updates tracked since 2016).

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

NPI1225283260
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameERGI O GUMUSANELICredential: MD
Location Address600 E STATE HIGHWAY 260Payson, AZ 85541-4935
Mailing Address16810 Avenue Of The Fountains, Suite 200Fountain Hills, AZ 85268
Phone(303) 808-5566
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 18, 2008
Last NPPES UpdateFebruary 18, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2022
✔ NPI 1225283260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CO · 48431✔ Licensed in CA · A133155✔ Licensed in AZ · 49742
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 ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X · License 48431 (CO)
600 E STATE HIGHWAY 260, Payson, AZ 85541
Open in Google Maps ↗

Secondary Practice Location 1

Location 1711 Barnes AveLA Junta, CO 81050-2138 · Phone (719) 384-5446 ext. 338

Other Identifiers 1

Medicaid9000102175CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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

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.

PECOS PAC ID7315186251
PECOS Enrollment IDI20130625000536
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.

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, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470001
LocationBox 547Barre, VT 05641 · Washington County
Emergency services Birthing friendly

Physician 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.

New Patient
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 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.

What insurance does Ergi Gumusaneli accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Ergi Gumusaneli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.