SHANE RUCKEL
NPI 1215391875
Internal Medicine - Cardiovascular Disease in Ogden, UT

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
4403 HARRISON BLVD STE 3490, OGDEN, UT 84403(801) 387-2650 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2023, Oct 19, 2022, Jul 8, 2022 (3 updates tracked since 2022).

About Shane Ruckel NPPES

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

SHANE RUCKEL (NPI 1215391875) is an individual cardiovascular disease provider in Ogden, Utah, licensed in Utah (10498620-1205) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Ohio State University College Of Medicine (2016).

NPPES Registry Identity

NPI1215391875
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSHANE RUCKEL
Location Address4403 HARRISON BLVD STE 3490Ogden, UT 84403-3284
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2016
Enumeration DateApril 11, 2016
Last NPPES UpdateNovember 7, 20233 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
NPI 1215391875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in UT · 10498620-1205
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4403 HARRISON BLVD STE 3490, Ogden, UT 84403

Accepted 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

Shane Ruckel 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 ID5092071613
PECOS Enrollment IDI20220822000931
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 19

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
238 services227 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
231 services228 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
70 services69 patients
Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan 78431
This is a diagnostic test where a tiny amount of radioactive material is used to examine your heart's blood flow at rest & during stress, alongside a CT scan for detailed images. It helps identify any heart-related issues like blockages or damage.
57 services57 patients
Nuclear medicine study of heart muscle blood flow by pet 78434
A nuclear medicine study of heart muscle blood flow by PET is a non-invasive test that uses a small amount of radioactive substance to create detailed images of your heart's blood flow and function. It helps assess heart health and diagnose heart conditions.
57 services57 patients
Mri scan of heart before and after contrast 75561
An MRI scan of the heart with contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed pictures of your heart. The contrast dye improves the clarity of these images. This test helps in diagnosing heart conditions.
56 services56 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Bear River Valley Hospital

Acute Care Hospitals · Tremonton, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460039
Location905 North 1000 WestTremonton, UT 84337 · Box Elder County
Emergency services Birthing friendly

Intermountain Health Layton Hospital

Acute Care Hospitals · Layton, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460061
Location201 West Layton ParkwayLayton, UT 84041 · Davis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84403 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.

Other Providers at the Same Location NPPES 8

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

Physician Assistant
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403
Internal Medicine
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403
Internal Medicine (Cardiovascular Disease)
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403
Internal Medicine (Cardiovascular Disease)
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403
Nurse Practitioner
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403
Internal Medicine (Interventional Cardiology)
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403
Internal Medicine (Interventional Cardiology)
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403
Internal Medicine (Cardiovascular Disease)
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403

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 Ruckel's NPI number?

The NPI number for Shane Ruckel is 1215391875. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Shane Ruckel located?

Shane Ruckel practices at 4403 Harrison Blvd Ste 3490, Ogden, UT 84403. The listed phone number is (801) 387-2650.

What is Shane Ruckel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Shane Ruckel enrolled in Medicare?

Yes. Shane Ruckel 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 Ruckel accept?

Health plans from Select Health list Shane Ruckel 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.

Is Shane Ruckel affiliated with any hospitals?

According to CMS data, Shane Ruckel is affiliated with Mckay-Dee Hospital, Logan Regional Hospital, Bear River Valley Hospital and Intermountain Health Layton Hospital.

When was this NPI record last updated?

The NPPES record for Shane Ruckel was last updated on November 7, 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.