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DR. GARY R. LEWIS PHD
NPI 1871630160
Psychologist - Clinical in San Diego, CA

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
8686 CAPRICORN WAY, SAN DIEGO, CA 92126(858) 695-9535(858) 549-7057 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2021, Sep 29, 2018 (2 updates tracked since 2018).

About Dr. Gary R. Lewis Phd NPPES

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

DR. GARY R. LEWIS PHD (NPI 1871630160) is an individual clinical provider in San Diego, California, licensed in California (PSY 14349) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1871630160
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GARY R. LEWISCredential: PHD
Location Address8686 CAPRICORN WAYSan Diego, CA 92126-1851
Mailing Address8686 Capricorn WaySan Diego, CA 92126-1851 · (858) 695-9535 · Fax (858) 549-7057
Phone(858) 695-9535
Fax(858) 549-7057
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 29, 20212 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
✔ NPI 1871630160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY 14349
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
8686 CAPRICORN WAY, San Diego, CA 92126
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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

Dr. Gary R. Lewis Phd 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 ID9032463906
PECOS Enrollment IDI20181112001923
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 Gary Lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mellow Medical Inc A Professional Corporation
107 mi
Psychiatry
8235 SANTA MONICA BLVD, SUITE 300
West Hollywood, CA 90046
  • Reassigned Medicare billing, California enrollment
  • 204 clinicians in this Medicare group
NPI 1407275886 (310) 892-4284

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 92126 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
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
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 Gary Lewis's NPI number?

The NPI number for Gary Lewis is 1871630160. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Gary Lewis located?

Gary Lewis practices at 8686 Capricorn Way, San Diego, CA 92126. The listed phone number is (858) 695-9535.

What is Gary Lewis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Gary Lewis enrolled in Medicare?

Yes. Gary Lewis 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 organization bills Medicare for Gary Lewis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Lewis reassigns Medicare benefits to Mellow Medical Inc A Professional Corporation (West Hollywood, 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 Gary Lewis'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 Gary Lewis was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.