SHAWNNA TIFFANY REILLY PA-C
NPI 1124158712
Physician Assistant in Campbell, CA

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
476 E CAMPBELL AVE, CAMPBELL, CA 95008(408) 378-1888(408) 378-5830 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 30, 2026, Mar 16, 2016 (2 updates tracked since 2016).

About Shawnna Tiffany Reilly Pa-c NPPES

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

SHAWNNA TIFFANY REILLY PA-C (NPI 1124158712) is an individual physician assistant in Campbell, California, licensed in California (PA19034) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1124158712
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHAWNNA TIFFANY REILLYCredential: PA-C
Location Address476 E CAMPBELL AVECampbell, CA 95008-2142
Mailing Address476 E Campbell AveCampbell, CA 95008-2142 · (408) 378-1888
Fax(408) 378-5830
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 6, 2007
Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
NPI 1124158712 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 · PA19034
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.

476 E CAMPBELL AVE, Campbell, CA 95008

Other Names 1

Former Name (1)Shawnna T Sopp-reilly

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

Shawnna Tiffany Reilly 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 ID7810092020
PECOS Enrollment IDI20070417000677
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
164 services159 patients
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.
56 services56 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.
31 services31 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95008 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.14
Improvement Activities40
Cost78.74

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.

Obstetrics & Gynecology
476 E CAMPBELL AVE
CAMPBELL, CA 95008
Nurse Practitioner
476 E CAMPBELL AVE
CAMPBELL, CA 95008

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124158712, enumerated as an "individual" on March 06, 2007.

The provider is located at 476 E CAMPBELL AVE CAMPBELL, CA 95008 and the phone number is (408) 378-1888.

Physician Assistant with taxonomy code 363A00000X.