Doctor profile · Federal record
Dr. Shane Ravenelle, PT, DPT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Lake Forest, CA
- NPI 1780229898
- Accepts Medicare
- MIPS 88.9 / 100 · 2023
- 7 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
24301 Muirlands Blvd Ste T
Lake Forest, CA 926303627
(949) 271-0012
fax (949) 271-0013 - Mailing address
-
3230 E Imperial Hwy Ste 100
Brea, CA 928216735
Credentials & registration
- NPI registered
- November 2019 — 7 yrs on file
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- California #297650
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1780229898. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,699
Distinct HCPCS
5
Medicare allowed
$50,753
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1,074 | 85 | $32 | |
97150 |
Therapy procedure in a group setting | 367 | 55 | $15 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 174 | 42 | $22 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 44 | 43 | $110 | |
97164 |
Re-evaluation for physical therapy, typically 20 minutes | 40 | 31 | $58 |
In context: peer comparison
Among 9 peers in Lake Forest Physical Therapist, average services per provider: 447. This provider delivers 3.8× the peer median.Frequently asked questions
What is Dr. Shane Ravenelle's medical specialty?
Dr. Shane Ravenelle practices Physical Therapist in Lake Forest, CA.
Where does Dr. Shane Ravenelle practice?
Dr. Shane Ravenelle practices at 24301 Muirlands Blvd Ste T, Lake Forest, CA 926303627. Office phone: 9492710012.
What is Dr. Shane Ravenelle's NPI?
Dr. Shane Ravenelle's National Provider Identifier (NPI) is 1780229898, issued by NPPES.
Does Dr. Shane Ravenelle accept Medicare assignment?
Yes. Dr. Shane Ravenelle accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shane Ravenelle commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure in a group setting (HCPCS 97150); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110). Source: CMS Medicare Physician & Other Practitioners file.