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SHAWNA LE MD
NPI 1265061451
Internal Medicine in Costa Mesa, CA

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment
1640 NEWPORT BLVD, COSTA MESA, CA 92627(949) 398-1440 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2023, Jul 21, 2023, Jul 12, 2023 and 1 more (4 updates tracked since 2020).

About Shawna Le Md NPPES

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

SHAWNA LE MD (NPI 1265061451) is an individual internal medicine provider in Costa Mesa, California, licensed in California (A178617) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265061451
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHAWNA LECredential: MD
Location Address1640 NEWPORT BLVDCosta Mesa, CA 92627-7745
Mailing Address1640 Newport BlvdCosta Mesa, CA 92627-7745 · (949) 398-1440
Phone(949) 398-1440
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 8, 2020
Last NPPES UpdateJuly 24, 20234 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1265061451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A178617
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1640 NEWPORT BLVD, Costa Mesa, CA 92627
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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

Shawna Le 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 ID4183096522
PECOS Enrollment IDI20230210001168
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 5

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.
166 services129 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.
45 services37 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.
40 services36 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.
26 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92627 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

AMERICAN SURGICAL CENTER-OC
Clinic/Center (Ambulatory Surgical)
1640 NEWPORT BLVD, SUITE 150
COSTA MESA, CA 92627
Orange County (949) 309-3330
PS CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1640 NEWPORT BLVD, SUITE 100
COSTA MESA, CA 92627
Orange County (949) 478-8000
TRILOGY EYE MEDICAL GROUP, INC.
Specialist
1640 NEWPORT BLVD, 220
COSTA MESA, CA 92627
Orange County (949) 873-5046
ORTHOPEDIC AND SPORTS MEDICINE CENTER
Clinic/Center (Medical Specialty)
1640 NEWPORT BLVD, SUITE 230
COSTA MESA, CA 92627
Orange County (949) 515-5210
PACIFIC CDDC
Clinic/Center (Medical Specialty)
1640 NEWPORT BLVD, SUITE 350
COSTA MESA, CA 92627
Orange County (949) 386-5260
DR. SCOTT ANDREW CARLTON DC
Chiropractor
1640 NEWPORT BLVD, STE 440
COSTA MESA, CA 92627
Orange County (949) 287-6321
AMERICAN REPRODUCTIVE CENTERS
Clinic/Center (Ambulatory Fertility Facility)
1640 NEWPORT BLVD, #460
COSTA MESA, CA 92627
Orange County (949) 309-3330
UC IRVINE WOMEN'S HEALTH CARE CENTER
Clinic/Center (Medical Specialty)
1640 NEWPORT BLVD, SUITE 340
COSTA MESA, CA 92627
Orange County (949) 752-4700

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 Shawna Le's NPI number?

The NPI number for Shawna Le is 1265061451. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Shawna Le located?

Shawna Le practices at 1640 Newport Blvd, Costa Mesa, CA 92627. The listed phone number is (949) 398-1440.

What is Shawna Le's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shawna Le enrolled in Medicare?

Yes. Shawna Le 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 Shawna Le was last updated on July 24, 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.