SHAWN SINGH RAI M.D.
NPI 1073900064
Neurological Surgery in Ocala, FL

Q: What is Shawn Rai's NPI number?

The NPI number for Shawn Rai is 1073900064. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Q: What is Shawn Rai's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Rai was last updated on October 3, 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.

Active since April 17, 2015PECOS EnrolledAccepts Medicare Assignment

88.47/100

CMS Quality Rating

1725 SE 28TH LOOP, OCALA, FL 34471(352) 629-1743 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Shawn Singh Rai M.d. NPPES

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

SHAWN SINGH RAI M.D. (NPI 1073900064) is an individual neurological surgery provider in Ocala, Florida, licensed in Florida (ME162703) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Marion Communtiy Hospital, and is a graduate of Florida Atlantic University, College Of Medicine (2015).

NPPES Registry Identity

NPI1073900064

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameSHAWN SINGH RAICredential: M.D.

Location Address1725 SE 28TH LOOPOcala, FL 34471-5323

Mailing Address2050 Sw 76th LnOcala, FL 34476-6768 · (561) 714-6774

Phone(352) 629-1743

Sole ProprietorNo

Medical School CMSFlorida Atlantic University, College Of MedicineGraduated 2015

Enumeration DateApril 17, 2015

Last NPPES UpdateOctober 3, 2023

NPPES CertifiedOctober 3, 2023

✔ NPI 1073900064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

Licenses✔ Licensed in FL · ME162703✔ Licensed in GA · 91814

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1725 SE 28TH LOOP, Ocala, FL 34471

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

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

Shawn Singh Rai M.d. 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 ID749526317

PECOS Enrollment IDI20230907004085

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 Shawn Rai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ocala Health Surgical Group LLC

5.3 mi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

4600 SW 46TH CT, SUITE 250
Ocala, FL 34474

Reassigned Medicare billing, Florida enrollment
52 clinicians in this Medicare group

NPI 1659540524 (352) 291-2400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

167 services167 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

164 services121 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

62 services59 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

53 services33 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

38 services32 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.

26 services13 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

22 services22 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

17 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.

16 services15 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

14 services14 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

12 services12 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

11 services11 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

11 services11 patients

Use of operating microscope 69990

An operating microscope is a device that magnifies small areas, allowing surgeons to see fine details clearly during procedures. It's often used for delicate operations like eye or nerve surgery, improving precision and outcomes.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100212

Location1431 SW 1st AveOcala, FL 34471 · Marion County

Emergency services

Villages Regional Hospital, The

Acute Care Hospitals · The Villages, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100290

Location1451 El Camino RealThe Villages, FL 32159 · Lake County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34471 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

88.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.64

Promoting Interoperability

100

Improvement Activities

Cost

63.96

Other Providers at the Same Location NPPES 2

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

ERIC DONALD GRACE FNP-BC

Nurse Practitioner

1725 SE 28TH LOOP
OCALA, FL 34471

Marion County (352) 629-1743

HET PATEL

Physician Assistant

1725 SE 28TH LOOP
OCALA, FL 34471

Marion County (352) 629-1743

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 Shawn Rai's NPI number?

The NPI number for Shawn Rai is 1073900064. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Shawn Rai located?

Shawn Rai practices at 1725 SE 28th Loop, Ocala, FL 34471. The listed phone number is (352) 629-1743.

What is Shawn Rai's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Shawn Rai enrolled in Medicare?

Yes. Shawn Rai 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 Shawn Rai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Rai reassigns Medicare benefits to Ocala Health Surgical Group LLC (Ocala, FL). 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 Shawn Rai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Rai accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Shawn Rai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shawn Rai affiliated with any hospitals?

According to CMS data, Shawn Rai is affiliated with Marion Communtiy Hospital and Villages Regional Hospital, The.

When was this NPI record last updated?

The NPPES record for Shawn Rai was last updated on October 3, 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.