DR. SHAWNA RINKER M.D.
NPI 1487997912
Hospitalist in Newport Beach, CA

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
44.02/100
CMS Quality Rating
1 HOAG DR, NEWPORT BEACH, CA 92663(949) 610-7245(657) 241-7720 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, May 23, 2017, Feb 3, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Shawna Rinker M.d. NPPES

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

DR. SHAWNA RINKER M.D. (NPI 1487997912) is an individual hospitalist provider in Newport Beach, California, licensed in California (A132550) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2013).

NPPES Registry Identity

NPI1487997912
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. SHAWNA RINKERCredential: M.D.
Location Address1 HOAG DRNewport Beach, CA 92663-4162
Mailing AddressPo Box 3589Newport Beach, CA 92659-8589 · (657) 241-3600 · Fax (657) 241-7708
Fax(657) 241-7720
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1487997912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · A132550
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License A132550 (CA)
1 HOAG DR, Newport Beach, CA 92663

Other Identifiers 1

Medicaid1487997912CA

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. Shawna Rinker 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 ID5799078937
PECOS Enrollment IDI20160725003033
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
186 services87 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.
146 services75 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
73 services73 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.
38 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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.

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.

44.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality41.14
Improvement Activities0
Cost56.33

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$57.92 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$28.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiology
1 HOAG DR, DEPT OF ANESTHESIOLOGY
NEWPORT BEACH, CA 92663
Hospitalist
1 HOAG DR
NEWPORT BEACH, CA 92663
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1 HOAG DR
NEWPORT BEACH, CA 92663
Dietitian, Registered
1 HOAG DR
NEWPORT BEACH, CA 92663
Hospitalist
1 HOAG DR
NEWPORT BEACH, CA 92663
Hospitalist
1 HOAG DR
NEWPORT BEACH, CA 92663
Dietitian, Registered
1 HOAG DR
NEWPORT BEACH, CA 92663
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1 HOAG DR
NEWPORT BEACH, CA 92663

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 Rinker's NPI number?

The NPI number for Shawna Rinker is 1487997912. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Shawna Rinker located?

Shawna Rinker practices at 1 Hoag Dr, Newport Beach, CA 92663. The listed phone number is (949) 610-7245.

What is Shawna Rinker's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shawna Rinker enrolled in Medicare?

Yes. Shawna Rinker 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 Rinker was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.