SHELBY MCILVAINE (PA-C) – Physician Assistant, NPI 1053947184
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for SHELBY MCILVAINE (PA-C)
710 OAK GLN
IRVINE, CA 926184718
Phone: (206) 450-0046
Type: Mailing
280 S MAIN ST
ORANGE, CA 928683852
Phone: (714) 634-4567
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2024-03-31 • Largest payer in this snapshot: Davol Inc. ($40).
Total Amount
$40
General + Research + Ownership
Payments
1
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $40 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-10-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201012002501 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 22216 | Incision or removal of spine bone segment, each additional segment | 35 | 21 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 24 | 11 | $0 |
| 22214 | Incision or removal of lower spine bone segment | 22 | 21 | $0 |
| 22612 | Fusion of spine in lower back | 21 | 20 | $0 |
| 22840 | Placement of stabilizing device to back of 1 spine bone in neck | 18 | 17 | $0 |
Insurance plans in this area (ZIP 92618)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | CA | |
| Interventional Pain Management, Anesthesiology | CA | |
| Physician Assistant | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Hand Surgery | CA | |
| Orthopedic Surgery | CA | |
| - | CA | |
| Physician Assistant | CA |
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