SHANNON MARIE BUCKMASTER OD
NPI 1346234275
Optometrist in St George, UT

Q: What is Shannon Buckmaster's NPI number?

The NPI number for Shannon Buckmaster is 1346234275. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Q: What is Shannon Buckmaster's specialty?

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

Active since September 07, 2005PECOS Enrolled

1495 S BLACK RIDGE DR STE A270, ST GEORGE, UT 84770(503) 329-1696 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Shannon Marie Buckmaster Od NPPES

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

SHANNON MARIE BUCKMASTER OD (NPI 1346234275) is an individual optometrist in St George, Utah, licensed in Oregon (3055AT) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346234275

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameSHANNON MARIE BUCKMASTERCredential: OD

Location Address1495 S BLACK RIDGE DR STE A270St George, UT 84770-7174

Mailing Address5794 S Amber Ridge DrSaint George, UT 84790-1948 · (503) 329-1696 · Fax (503) 925-9733

Phone(503) 329-1696

Sole ProprietorYes

Enumeration DateSeptember 7, 2005

Last NPPES UpdateSeptember 2, 2022

NPPES CertifiedSeptember 2, 2022

✔ NPI 1346234275 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 OR · 3055AT

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.

1495 S BLACK RIDGE DR STE A270, St George, UT 84770

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Other Names 1

Other Name (5)Shannon Buckmaster

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Marie Buckmaster Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Shannon Buckmaster reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Smith Eye LLC

2.6 mi

Optometrist

15 S RIVER RD STE 150
St George, UT 84790

Reassigned Medicare billing, Utah enrollment
4 clinicians in this Medicare group

NPI 1437862505 (435) 465-2230

Bend Family Vision Care LLC

630 mi

Optometrist

1470 SW KNOLL AVE STE 102
Bend, OR 97702

Reassigned Medicare billing, Oregon enrollment
2 clinicians in this Medicare group

NPI 1619759453 (541) 797-0295

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84770 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.

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 Shannon Buckmaster's NPI number?

The NPI number for Shannon Buckmaster is 1346234275. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Shannon Buckmaster located?

Shannon Buckmaster practices at 1495 S Black Ridge Dr Ste A270, St George, UT 84770. The listed phone number is (503) 329-1696.

What is Shannon Buckmaster's specialty?

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

Is Shannon Buckmaster enrolled in Medicare?

Yes. Shannon Buckmaster is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shannon Buckmaster's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Buckmaster reassigns Medicare benefits to 2 organizations: Smith Eye LLC (St George, UT) and Bend Family Vision Care LLC (Bend, OR). 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 Shannon Buckmaster's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Buckmaster accept?

Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Shannon Buckmaster 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 Shannon Buckmaster was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.