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DR. SHAUN RAFAEL D.O.
NPI 1093116766
Psychiatry & Neurology - Psychiatry in Citrus Heights, CA

Active since September 11, 2014PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
7115 GREENBACK LN, FL1, CITRUS HEIGHTS, CA 95621(916) 924-6400(916) 648-0196 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 26, 2023, Jan 2, 2016 (2 updates tracked since 2016).

About Dr. Shaun Rafael D.o. NPPES

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

DR. SHAUN RAFAEL D.O. (NPI 1093116766) is an individual psychiatry provider in Citrus Heights, California, licensed in California (20A15077) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Carmichael, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093116766
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SHAUN RAFAELCredential: D.O.
Location Address7115 GREENBACK LN, FL1Citrus Heights, CA 95621-6133
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Phone(916) 924-6400
Fax(916) 648-0196
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 11, 2014
Last NPPES UpdateJanuary 26, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
✔ NPI 1093116766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · 20A15077
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
7115 GREENBACK LN, Citrus Heights, CA 95621
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Secondary Practice Location 1

Location 16555 Coyle Ave Ste 280Carmichael, CA 95608-0302 · Phone (916) 924-6400 · Fax (916) 648-0196

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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. Shaun Rafael D.o. 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 ID9537496336
PECOS Enrollment IDI20190815002095
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 6

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.

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.
468 services126 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
325 services105 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
66 services34 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
48 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services20 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95621 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
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

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.

WEI KUANG PA-C
Physician Assistant
7115 GREENBACK LN, FL2
CITRUS HEIGHTS, CA 95621
Sacramento County (916) 536-3620
MRS. CATHERINE J. STEPHENS NP
Nurse Practitioner
7115 GREENBACK LN, FL2
CITRUS HEIGHTS, CA 95621
Sacramento County (916) 536-3620
MANLI HUANG NP
Nurse Practitioner (Family)
7115 GREENBACK LN, FL1
CITRUS HEIGHTS, CA 95621
Sacramento County (916) 536-2442
ELISSA KU NP
Nurse Practitioner
7115 GREENBACK LN, FL 2
CITRUS HEIGHTS, CA 95621
Sacramento County (916) 536-3620
MS. HEATHER ANN ROBRECHT KELLY ARNP
Nurse Practitioner (Acute Care)
7115 GREENBACK LN, FL 2
CITRUS HEIGHTS, CA 95621
Sacramento County (916) 733-3460
SAMANTHA RUBY ALMA MCGILL LMFT
Marriage & Family Therapist
7115 GREENBACK LN, FL 1
CITRUS HEIGHTS, CA 95621
Sacramento County (916) 924-6400
DR. ANWAR SAEED MD
Internal Medicine
7115 GREENBACK LN, FL 2
CITRUS HEIGHTS, CA 95621
Sacramento County (916) 536-3620
JAMES GRANT FAHEY PA-C
Physician Assistant
7115 GREENBACK LN, FL 2
CITRUS HEIGHTS, CA 95621
Sacramento County (916) 536-3620

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 Shaun Rafael's NPI number?

The NPI number for Shaun Rafael is 1093116766. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Where is Shaun Rafael located?

Shaun Rafael practices at 7115 Greenback Ln Fl1, Citrus Heights, CA 95621. The listed phone number is (916) 924-6400.

What is Shaun Rafael's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Shaun Rafael enrolled in Medicare?

Yes. Shaun Rafael 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.

What insurance does Shaun Rafael accept?

Health plans from Providence Health Plan list Shaun Rafael 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.

When was this NPI record last updated?

The NPPES record for Shaun Rafael was last updated on January 26, 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.