DR. SHANE MICHAEL DAVIS (MD) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1295269736
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,147 PHYSICAL MEDICINE AND REHABILITATION in CA
Provider Addresses for DR. SHANE MICHAEL DAVIS (MD)
101 THE CITY DR S BLDG 53
ORANGE, CA 928683201
Phone:
Type: Mailing
800 WASHINGTON ST # 306
BOSTON, MA 021111552
Phone:
Type: Mailing
800 WASHINGTON ST
BOSTON, MA 021111552
Phone: (617) 636-5631
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $953.
Total Amount is formed as General ($953) + Research ($0) + Ownership ($0) = $953.
Last reported payment date: 2024-08-13 • Largest payer in this snapshot: SPR Therapeutics, Inc ($272).
Total Amount
$953
General + Research + Ownership
Payments
9
Total payment records
General Amount
$953
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SPR Therapeutics, Inc | $272 |
| Bioventus LLC | $205 |
| Next Science LLC | $121 |
| PIRAMAL CRITICAL CARE | $117 |
| Boston Scientific Corporation | $116 |
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: 2022-10-10
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 |
|---|---|---|---|---|
| I20221010001720 | I | Physical Medicine And Rehabilitation | MA | 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 |
|---|---|---|---|---|
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 118 | 77 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 51 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 59 | 47 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 49 | 49 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 32 | 32 | $0 |
Insurance plans in this area (ZIP 92868)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | MA | |
| - | MA | |
| Physical Medicine And Rehabilitation | MD | |
| - | MA | |
| Physical Medicine And Rehabilitation | MA | |
| - | MA | |
| - | MA | |
| - | MA |
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