SHALE LYNN DEMUTH OD
NPI 1417704222
Optometrist in Tucson, AZ

Q: What is Shale Demuth's NPI number?

The NPI number for Shale Demuth is 1417704222. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Q: What is Shale Demuth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shale Demuth was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since May 01, 2024PECOS Enrolled

3601 S 6TH AVE, TUCSON, AZ 85723(520) 792-1450(520) 783-4386 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2025, May 1, 2024 (2 updates tracked since 2024).

On this page

About Shale Lynn Demuth Od NPPES

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

SHALE LYNN DEMUTH OD (NPI 1417704222) is an individual optometrist in Tucson, Arizona, licensed in Arizona (002822) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417704222

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameSHALE LYNN DEMUTHCredential: OD

Location Address3601 S 6TH AVETucson, AZ 85723-0001

Mailing Address937 N Dobson RdMesa, AZ 85201-7588 · (480) 649-6100

Phone(520) 792-1450

Fax(520) 783-4386

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 1, 2024

Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1417704222 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 AZ · 002822

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.

3601 S 6TH AVE, Tucson, AZ 85723

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Secondary Practice Location 1

Location 11234 E Northern AvePhoenix, AZ 85020-4274 · Phone (623) 583-2800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross and Blue Shield of Louisiana 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)

Shale Lynn Demuth Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476055922

PECOS Enrollment IDI20250904004681

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 Shale Demuth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carlos L Grandela O.D. Plc

98 mi

Low Vision Rehabilitation

1830 S ALMA SCHOOL RD STE 131
Mesa, AZ 85210

Reassigned Medicare billing, Arizona enrollment
8 clinicians in this Medicare group

NPI 1871738914 (480) 695-2595

Family First Vision Care Arizona PLLC

118 mi

Optometrist

21001 N TATUM BLVD STE 18
Phoenix, AZ 85050

Reassigned Medicare billing, Arizona enrollment
36 clinicians in this Medicare group

NPI 1710417514 (480) 513-4184

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 85723 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 20

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

DR. DAVID SPENCER HAMILTON SR. MD

Internal Medicine (Cardiovascular Disease)