LISA I SHANE (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1316905235

LISA I SHANE (M.D.) is a healthcare provider. based in Huntington beach, California. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. G078893 (CA). The NPI Number for LISA I SHANE (M.D.) is 1316905235

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
LISA I SHANE (M.D.)
NPI
1316905235
Phone
(714) 377-5817
Address
17601 RAINGLEN LN
Enumeration Date
2 May 2006
Last Update Date
11 January 2012

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5629330716
Graduation Year
1992 (34 years ago)
PAC ID
7810990207
Group Practice PAC ID
8426001363
Professional Enrollment ID
I20060825000238
Address ID
CA908061701LO2801XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,584 PATHOLOGY in CA

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Provider Addresses for LISA I SHANE (M.D.)

  • 17601, Rainglen Lane, Huntington Beach, Orange County, California, 92649, United States

    HUNTINGTON BEACH, CA 926494727

    Phone: (714) 377-5817

    Type: Mailing

  • Long Beach Memorial Hospital, 2801, Atlantic Avenue, Willowville, Long Beach, Los Angeles County, California, 90806, United States

    LONG BEACH, CA 908061737

    Phone: (562) 933-0713

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-08-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060825000238IPathologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity383216$0
88341Special stained specimen slides to examine tissue, each additional procedure26872$0
88307Pathology examination of tissue using a microscope, moderately high complexity11467$0
88342Special stained specimen slides to examine tissue, initial procedure11197$0
88312Special stained specimen slides to identify organisms including interpretation and report11075$0
View full utilization report →

Insurance plans in this area (ZIP 92649)

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Provider's Procedures

LISA I SHANE (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYCA88304Pathology examination of tissue using a microscope, moderately low complexity1414
PATHOLOGYCA88342Tissue or cell analysis by immunologic technique114103

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426001363View full group profile
NameSpecialtyState
P A T H O L O G YCA
-CA
-CA
P A T H O L O G YCO
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
Pathology, Internal MedicineCA

Reviews

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Frequently asked questions

Can I use this page to confirm LISA I SHANE (M.D.)'s NPI?
Yes. LISA I SHANE (M.D.) is listed with NPI 1316905235 in the public NPI dataset.
Does the file indicate LISA I SHANE (M.D.) is practicing under active NPI?
Directory data currently reports LISA I SHANE (M.D.) as active.
What is LISA I SHANE (M.D.)'s specialty?
The listing groups LISA I SHANE (M.D.) with Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Does LISA I SHANE (M.D.) list a practice location?
Patients near Huntington Beach, California may find LISA I SHANE (M.D.) in results; validate coverage separately.
Why does LISA I SHANE (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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