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DR. SHANE JENSEN O.D.
NPI 1154422822
Optometrist in Panguitch, UT

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
415 E. CENTER STREET, PANGUITCH, UT 84759(435) 676-8646(435) 676-8646 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shane Jensen O.d. NPPES

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

DR. SHANE JENSEN O.D. (NPI 1154422822) is an individual optometrist in Panguitch, Utah, licensed in Utah (5354482-9934) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2003).

NPPES Registry Identity

NPI1154422822
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SHANE JENSENCredential: O.D.
Location Address415 E. CENTER STREETPanguitch, UT 84759
Mailing AddressP.o. Box 592Panguitch, UT 84759 · (435) 676-2761
Phone(435) 676-8646
Fax(435) 676-8646
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 2003
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJune 16, 2008
✔ NPI 1154422822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in UT · 5354482-9934
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
415 E. CENTER STREET, Panguitch, UT 84759
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Other Identifiers 12

Medicare PIN005733801UT
Other813540UT · Dmba
Other5354482-9934UT · Pehp
Other270343UT · Altius
Other107028627101UT · Ihc
OtherRR27009UT · Spectera
Other043753766UT · Tricare
Medicare NSC4940040001UT
Other1595696UT · Optichoice
MedicaidD5075UT
Other53544829900001UT · Bluecross Blueshield
Other043753766UT · Humana

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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. Shane Jensen O.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 ID6204737737
PECOS Enrollment IDI20040117000211
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 5

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
812 services692 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
190 services99 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
89 services89 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
80 services78 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84759 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 Shane Jensen's NPI number?

The NPI number for Shane Jensen is 1154422822. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Shane Jensen located?

Shane Jensen practices at 415 E. Center Street, Panguitch, UT 84759. The listed phone number is (435) 676-8646.

What is Shane Jensen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Shane Jensen enrolled in Medicare?

Yes. Shane Jensen 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.

What insurance does Shane Jensen accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Regence BlueCross BlueShield of Utah and 1 other insurer list Shane Jensen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Jensen was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.