SHAWN CHARLES LIES PA
NPI 1578796439
Physician Assistant - Surgical in Oakland, CA

Q: What is Shawn Lies's NPI number?

The NPI number for Shawn Lies is 1578796439. It was assigned to this individual provider in the NPPES registry on August 26, 2009.

Q: What is Shawn Lies's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Lies was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 August 26, 2009PECOS EnrolledAccepts Medicare Assignment

74.46/100

CMS Quality Rating

3315 BROADWAY, OAKLAND, CA 94611(510) 486-2300(510) 486-2333 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2017, Jan 18, 2016 (2 updates tracked since 2016).

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About Shawn Charles Lies Pa NPPES

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

SHAWN CHARLES LIES PA (NPI 1578796439) is an individual surgical provider in Oakland, California, licensed in California (PA52420) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1578796439

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameSHAWN CHARLES LIESCredential: PA

Location Address3315 BROADWAYOakland, CA 94611-5717

Mailing Address200 Porter Dr, 215San Ramon, CA 94583-1587 · (925) 362-2166 · Fax (855) 574-3055

Phone(510) 486-2300

Fax(510) 486-2333

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateAugust 26, 2009

Last NPPES UpdateMay 11, 20172 updates tracked since enumeration

✔ NPI 1578796439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA52420

3315 BROADWAY, Oakland, CA 94611

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Other Identifiers 1

Medicare PIN178510CA

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

Shawn Charles Lies Pa 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 ID4688710023

PECOS Enrollment IDI20151222000608

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 3

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 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.

93 services75 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.

65 services50 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.

15 services15 patients

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.

74.46/100

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

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Cost

46.68

Other Providers at the Same Location NPPES 18

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

AUSTIN ARLO PITCHER MD, PHD

Orthopaedic Surgery (Hand Surgery)