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: July 26, 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
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

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, and ordering and referring status from the CMS PECOS system.

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.

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.

Physical Medicine & Rehabilitation
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Orthopaedic Surgery
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Orthopaedic Surgery
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Family Medicine (Sports Medicine)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Orthopaedic Surgery (Sports Medicine)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Physician Assistant (Surgical)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Nurse Practitioner (Family)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Orthopaedic Surgery
1225 15TH ST STE 2100
SANTA MONICA, CA 90404

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.

When was this NPI record last updated?

The NPPES record for Shane Hervey was last updated on August 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.