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DR. LISA SHUE MD
NPI 1851928196
Family Medicine in San Clemente, CA

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
724 S EL CAMINO REAL, SAN CLEMENTE, CA 92672(949) 493-6113(949) 493-5851 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 24, 2023, Dec 8, 2021, Apr 2, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Lisa Shue Md NPPES

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

DR. LISA SHUE MD (NPI 1851928196) is an individual family medicine provider in San Clemente, California, licensed in California (A178573) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of University Of Southern California Keck School Of Medicine (2020).

NPPES Registry Identity

NPI1851928196
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LISA SHUECredential: MD
Location Address724 S EL CAMINO REALSan Clemente, CA 92672-4250
Mailing Address724 S El Camino RealSan Clemente, CA 92672-4250 · (949) 493-6113 · Fax (949) 493-5851
Phone(949) 493-6113
Fax(949) 493-5851
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateOctober 24, 20234 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
✔ NPI 1851928196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A178573
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.
724 S EL CAMINO REAL, San Clemente, CA 92672
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Secondary Practice Location 1

Location 14733 W Sunset Blvd Fl 3Los Angeles, CA 90027-6021 · Phone (323) 783-7123

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lisa Shue 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 ID7315315538
PECOS Enrollment IDI20230306000243
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Lisa Shue reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthcare Partners Affiliates Medical Group
24 mi
Addiction Medicine
14591 NEWPORT AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
NPI 1891981502 (714) 442-4864
Southern California Permanente Medical Group
31 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000
Centers For Family Medicine Gp
37 mi
Family Medicine
3460 KATELLA AVE
Los Alamitos, CA 90720
  • Reassigned Medicare billing, California enrollment
  • 228 clinicians in this Medicare group
NPI 1467598243 (562) 594-6599
Sharp Rees-Stealy Medical Group, Inc
48 mi
Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group
NPI 1285616177 (858) 262-6666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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 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.
32 services32 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92672 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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 6

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

RACHEL RENE STOCKWELL NP
Nurse Practitioner
724 S EL CAMINO REAL
SAN CLEMENTE, CA 92672
Orange County (949) 493-6113
MARIENIDA BOEHN PATAM PA-C
Physician Assistant
724 S EL CAMINO REAL
SAN CLEMENTE, CA 92672
Orange County (949) 493-6113
DR. ADAM S CRAWFORD D.O.
Family Medicine
724 S EL CAMINO REAL
SAN CLEMENTE, CA 92672
Orange County (949) 493-6113
DR. MAHSA SAFAVI MD
Family Medicine
724 S EL CAMINO REAL
SAN CLEMENTE, CA 92672
Orange County (949) 493-6113
THERESA WILSON
Nurse Practitioner (Family)
724 S EL CAMINO REAL
SAN CLEMENTE, CA 92672
Orange County (949) 493-6113
YELENA WOOD M.D.
Internal Medicine
724 S EL CAMINO REAL
SAN CLEMENTE, CA 92672
Orange County (949) 453-4343

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 Lisa Shue's NPI number?

The NPI number for Lisa Shue is 1851928196. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Lisa Shue located?

Lisa Shue practices at 724 S El Camino Real, San Clemente, CA 92672. The listed phone number is (949) 493-6113.

What is Lisa Shue's specialty?

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

Is Lisa Shue enrolled in Medicare?

Yes. Lisa Shue 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.

Which organizations bill Medicare for Lisa Shue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Shue reassigns Medicare benefits to 4 organizations: Healthcare Partners Affiliates Medical Group (Tustin, CA), Southern California Permanente Medical Group (Anaheim, CA), Centers For Family Medicine Gp (Los Alamitos, CA) and Sharp Rees-Stealy Medical Group, Inc (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Shue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Shue was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.