MR. VITALIY SHAULOV (M.D.) – Psychiatry Physician, NPI 1699705590
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,160 PSYCHIATRY in CA
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Provider Addresses for MR. VITALIY SHAULOV (M.D.)
28895, El Apajo, Laguna Niguel, Orange County, California, 92677, United States
LAGUNA NIGUEL, CA 926777616
Phone: (949) 309-7903
Fax: (949) 716-5243
Type: Mailing
25411, Cabot Road, Laguna Hills, Orange County, California, 92653, United States
SUITE 116
LAGUNA HILLS, CA 926535520
Phone: (949) 309-7903
Fax: (949) 716-5243
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 203 Open Payments records for all available years, with a total value of $3,973.
Total Amount is formed as General ($3,973) + Research ($0) + Ownership ($0) = $3,973.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: ABBVIE INC. ($627).
Total Amount
$3,973
General + Research + Ownership
Payments
203
Total payment records
General Amount
$3,973
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $627 |
| Supernus Pharmaceuticals, Inc. | $375 |
| Lundbeck LLC | $328 |
| ITI, Inc. | $245 |
| Tris Pharma Inc | $192 |
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: 2005-11-09
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20051109001061 | I | Psychiatry | 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 |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 250 | 62 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 181 | 53 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 33 | $0 |
| 90785 | Psychiatric services complicated by communication factor | 34 | 17 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 25 | 25 | $0 |
Insurance plans in this area (ZIP 92677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA |
Reviews
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