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DR. SHANE ALAN HERVEY MD
NPI 1043899784
Family Medicine in Santa Monica, CA

Active since April 07, 2021PECOS EnrolledAccepts Medicare Assignment
1225 15TH ST STE 2100, SANTA MONICA, CA 90404(310) 319-1234 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Shane Alan Hervey Md NPPES

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

DR. SHANE ALAN HERVEY MD (NPI 1043899784) is an individual family medicine provider in Santa Monica, California, licensed in California (A191828) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Oregon Health Sciences University School Of Medicine (2021).

NPPES Registry Identity

NPI1043899784
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHANE ALAN HERVEYCredential: MD
Location Address1225 15TH ST STE 2100Santa Monica, CA 90404-1101
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 319-1234
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2021
Enumeration DateApril 7, 2021
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1043899784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A191828
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1225 15TH ST STE 2100, Santa Monica, CA 90404
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Secondary Practice Location 1

Location 11001 Potrero Ave Bldg 80-83San Francisco, CA 94110-3518 · Phone (628) 206-5252

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. Shane Alan Hervey Md 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 ID9638562770
PECOS Enrollment IDI20250616002756
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 Shane Hervey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The University Of California
3.2 mi
Orthopedic
1000 VETERAN AVE, ROOM 22-64
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 78 clinicians in this Medicare group
NPI 1679918395 (310) 825-5858

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 90404 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WEI KANG WU M.D.
Orthopaedic Surgery
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
MADELINE SHAOYUN TIEE
Orthopaedic Surgery
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
AMANDA MARIE HONSVALL HOEFLER M.D.
Family Medicine (Sports Medicine)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
DR. FRANK ANTHONY PETRIGLIANO MD
Orthopaedic Surgery (Sports Medicine)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
FANG JIANG
Physician Assistant (Surgical)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
ANTON NGUYEN PHAM DO
Physical Medicine & Rehabilitation
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
SHAHRZAD SALARKIA
Nurse Practitioner (Family)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (424) 259-6560
RYAN DAVID STANCIL M.D.
Orthopaedic Surgery
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-3475

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 Shane Hervey's NPI number?

The NPI number for Shane Hervey is 1043899784. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Shane Hervey located?

Shane Hervey practices at 1225 15th St Ste 2100, Santa Monica, CA 90404. The listed phone number is (310) 319-1234.

What is Shane Hervey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shane Hervey enrolled in Medicare?

Yes. Shane Hervey 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 Shane Hervey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Hervey reassigns Medicare benefits to Regents Of The University Of California (Los Angeles, 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 Shane Hervey'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 Shane Hervey was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.