1. Home
  2. Directory
  3. California
  4. Orange
  5. Physician Assistant
  6. NPI Profile

SHELBY MCILVAINE PA-C
NPI 1053947184
Physician Assistant in Orange, CA

Active since March 20, 2020PECOS EnrolledAccepts Medicare Assignment
52.6/100
CMS Quality Rating
280 S MAIN ST, ORANGE, CA 92868(714) 634-4567 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2023, Nov 30, 2020, Mar 20, 2020 (3 updates tracked since 2020).

About Shelby Mcilvaine Pa-c NPPES

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

SHELBY MCILVAINE PA-C (NPI 1053947184) is an individual physician assistant in Orange, California, licensed in California (57788) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053947184
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHELBY MCILVAINECredential: PA-C
Location Address280 S MAIN STOrange, CA 92868-3852
Mailing Address280 S Main StOrange, CA 92868-3852 · (714) 634-4567
Phone(714) 634-4567
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 20, 2020
Last NPPES UpdateMarch 17, 20233 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
✔ NPI 1053947184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 57788
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
280 S MAIN ST, Orange, CA 92868
Open in Google Maps ↗

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

Shelby Mcilvaine Pa-c 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 ID749600807
PECOS Enrollment IDI20201012002501
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Incision or removal of spine bone segment, each additional segment 22216
This procedure involves making an incision to remove a portion of the spine bone, often to alleviate pressure or pain. If more segments need to be removed, the process is repeated for each additional segment. This is done under general anesthesia.
36 services17 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
28 services13 patients
Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
21 services21 patients
Placement of stabilizing device to back of 1 spine bone in neck 22840
This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.
21 services21 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
19 services15 patients
Incision or removal of lower spine bone segment 22214
This procedure involves making a small incision in the lower back to access the spine. A segment of bone may be removed to relieve pressure on nerves, improve mobility, or treat conditions like herniated discs or spinal stenosis. Recovery varies, but physical therapy may follow.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

52.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality38.46
Improvement Activities40
Cost54.84

Reported Quality Measures

Documentation of Current Medications in the Medical Record
60%87 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
27%33 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
32%72 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 95% · 97 patients
89%97 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 35 patients
Patients totalRate: 34% · 35 patients
34%35 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

TOM CHOW PA-C
Physician Assistant
280 S MAIN ST, STE 200
ORANGE, CA 92868
Orange County (714) 634-4567
PABLO P PRIETTO MD
Orthopaedic Surgery
280 S MAIN ST, SUITE 200
ORANGE, CA 92868
Orange County (714) 634-4567
MARK N HALIKIS MD
Orthopaedic Surgery (Hand Surgery)
280 S MAIN ST, SUITE 200
ORANGE, CA 92868
Orange County (714) 634-4567
JEFFREY E DECKEY MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
280 S MAIN ST, STE 200
ORANGE, CA 92868
Orange County (714) 634-4567
SCOTT P FISCHER MD
Orthopaedic Surgery (Sports Medicine)
280 S MAIN ST, STE 200
ORANGE, CA 92868
Orange County (714) 634-4567
MIGUEL P PRIETTO MD
Orthopaedic Surgery (Sports Medicine)
280 S MAIN ST, SUITE 200
ORANGE, CA 92868
Orange County (714) 634-4567
RODOLPHO M SOLORZANO PAC
Physician Assistant
280 S MAIN ST, STE 200
ORANGE, CA 92868
Orange County (714) 634-4567
FRANK CHENG PT, DPT
Physical Therapist
280 S MAIN ST
ORANGE, CA 92868
Orange County (714) 634-4567

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 Shelby Mcilvaine's NPI number?

The NPI number for Shelby Mcilvaine is 1053947184. It was assigned to this individual provider in the NPPES registry on March 20, 2020.

Where is Shelby Mcilvaine located?

Shelby Mcilvaine practices at 280 S Main St, Orange, CA 92868. The listed phone number is (714) 634-4567.

What is Shelby Mcilvaine's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shelby Mcilvaine enrolled in Medicare?

Yes. Shelby Mcilvaine 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 Shelby Mcilvaine was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.