SHELLY RAE DAWSON MD
NPI 1619068103
Family Medicine in Marina, CA

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
84.55/100
CMS Quality Rating
3130 DEL MONTE BLVD, MARINA, CA 93933(831) 883-3330(831) 883-3335 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 1, 2017 (2 updates tracked since 2017).

About Shelly Rae Dawson Md NPPES

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

SHELLY RAE DAWSON MD (NPI 1619068103) is an individual family medicine provider in Marina, California, licensed in California (C146662) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2002).

NPPES Registry Identity

NPI1619068103
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHELLY RAE DAWSONCredential: MD
Location Address3130 DEL MONTE BLVDMarina, CA 93933-3047
Mailing Address100 Wilson Rd Ste 100Monterey, CA 93940-7885 · (831) 649-1000
Fax(831) 883-3335
Sole ProprietorYes
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2002
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1619068103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · C146662 Licensed in VA · 0101238261
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3130 DEL MONTE BLVD, Marina, CA 93933

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

Shelly Rae Dawson 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 ID7315971454
PECOS Enrollment IDI20170619002040
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 12

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.
233 services130 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.
144 services112 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
41 services41 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
32 services29 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
32 services19 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93933 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
$94.44 typical visit price
range $61.69 – $184.30
Typical copayment $23.61 (range $15.42 – $46.07)
Most-billed visit code 99203
Established Patient
$108.04 typical visit price
range $20.34 – $151.02
Typical copayment $27.01 (range $5.08 – $37.75)
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.

84.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.39
Promoting Interoperability81
Improvement Activities40
Cost74.11

Reported Quality Measures

Appropriate Treatment for Children with Upper Respiratory Infection (URI)
Percentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episode
90%48 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%3,930 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,680 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
100%160 patients5/55-star benchmark: 98%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
63%802 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
96%2,592 patients5/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
51%802 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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 suppliers17 claims17 services$79.61 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.34 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers14 claims1,260 services$0.06 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers15 claims15 services$18.49 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 7

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

Non-Pharmacy Dispensing Site
3130 DEL MONTE BLVD
MARINA, CA 93933
Physician Assistant
3130 DEL MONTE BLVD
MARINA, CA 93933
Physician Assistant
3130 DEL MONTE BLVD
MARINA, CA 93933
Community Health Worker
3130 DEL MONTE BLVD
MARINA, CA 93933
Community Health Worker
3130 DEL MONTE BLVD
MARINA, CA 93933
Nurse Practitioner (Family)
3130 DEL MONTE BLVD
MARINA, CA 93933
Physician Assistant
3130 DEL MONTE BLVD
MARINA, CA 93933

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 Shelly Dawson's NPI number?

The NPI number for Shelly Dawson is 1619068103. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Shelly Dawson located?

Shelly Dawson practices at 3130 Del Monte Blvd, Marina, CA 93933. The listed phone number is (831) 883-3330.

What is Shelly Dawson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shelly Dawson enrolled in Medicare?

Yes. Shelly Dawson 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 Shelly Dawson was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.