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DR. MARY ELLEN TRUNKO MD
NPI 1477690220
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
4510 EXECUTIVE DR, SUITE 315, SAN DIEGO, CA 92121(858) 534-8052 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mary Ellen Trunko Md NPPES

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

DR. MARY ELLEN TRUNKO MD (NPI 1477690220) is an individual psychiatry provider in San Diego, California, licensed in California (A77144) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Univ Of Illinois At Chicago College Of Dentistry (2000).

NPPES Registry Identity

NPI1477690220
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARY ELLEN TRUNKOCredential: MD
Location Address4510 EXECUTIVE DR, SUITE 315San Diego, CA 92121-3021
Mailing AddressPo Box 232410San Diego, CA 92193-2410
Phone(858) 534-8052
Sole ProprietorNo
Medical School CMSUniv Of Illinois At Chicago College Of DentistryGraduated 2000
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJanuary 23, 2020
✔ NPI 1477690220 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 · A77144
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.
4510 EXECUTIVE DR, San Diego, CA 92121
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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. Mary Ellen Trunko 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 ID8123454048
PECOS Enrollment IDI20200212000751
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 92121 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 20

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

DR. TODD BENJAMIN PLUTCHOK D.C.
Chiropractor
4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121
San Diego County (858) 452-8888
KHRIZNA CHONG MSN, RN, CNS
Clinical Nurse Specialist (Acute Care)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (858) 657-7729
MS. SHARON ESTERS-THAMES RN
Registered Nurse
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (858) 450-5000
MISS KERI ANNE O'CONNOR NP
Nurse Practitioner (Family)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (858) 657-5085
DAVID A LEPAY M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
4510 EXECUTIVE DR, SUITE 2257
SAN DIEGO, CA 92121
San Diego County (858) 550-3850
LISA GUERTIN NP
Nurse Practitioner (Acute Care)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (800) 926-8273
MANISH V SHETH MD
Psychiatry & Neurology (Psychiatry)
4510 EXECUTIVE DR, SUITE 115
SAN DIEGO, CA 92121
San Diego County (858) 427-5060
DR. CHAD MICHAEL WELLS D.C.
Chiropractor (Sports Physician)
4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121
San Diego County (858) 452-8888

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 Ellen Trunko's NPI number?

The NPI number for Mary Ellen Trunko is 1477690220. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Mary Ellen Trunko located?

Mary Ellen Trunko practices at 4510 Executive Dr Suite 315, San Diego, CA 92121. The listed phone number is (858) 534-8052.

What is Mary Ellen Trunko's specialty?

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

Is Mary Ellen Trunko enrolled in Medicare?

Yes. Mary Ellen Trunko 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 Mary Ellen Trunko was last updated on January 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.