SHANE D GAGON M.D.
NPI 1508951328
Family Medicine in Price, UT

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
377 N FAIRGROUNDS RD, PRICE, UT 84501(435) 613-2200(435) 613-2201 Get Directions Write a Review

NPPES record last updated: December 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shane D Gagon M.d. NPPES

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

SHANE D GAGON M.D. (NPI 1508951328) is an individual family medicine provider in Price, Utah, licensed in Utah (361555-1205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of University Of Utah School Of Medicine (1997).

NPPES Registry Identity

NPI1508951328
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHANE D GAGONCredential: M.D.
Location Address377 N FAIRGROUNDS RDPrice, UT 84501-4208
Mailing AddressPo Box 1437Price, UT 84501-1437 · (435) 613-2200 · Fax (435) 613-2201
Fax(435) 613-2201
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1997
Enumeration DateOctober 4, 2006
Last NPPES UpdateDecember 31, 2021
NPPES CertifiedDecember 22, 2021
NPI 1508951328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 361555-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
377 N FAIRGROUNDS RD, Price, UT 84501

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 D Gagon M.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 ID6204740251
PECOS Enrollment IDI20031114000299
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 34

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
2,175 services959 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,025 services555 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
704 services704 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
686 services686 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
380 services220 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
281 services278 patients

Hospital Affiliations CMS Care Compare 2

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Castleview Hospital

Acute Care Hospitals · Price, UT
4/5 CMS rating
OwnershipProprietary
CMS Certification Number460011
Location300 North Hospital DrivePrice, UT 84501 · Carbon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84501 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 25

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers11 claims134 services$18.57 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers102 claims175 services$5.75 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims16 services$1.02 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers60 claims60 services$42.90 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers11 claims21 services$2.02 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers45 claims45 services$116.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Family Medicine
377 N FAIRGROUNDS RD
PRICE, UT 84501
Registered Nurse (Diabetes Educator)
377 N FAIRGROUNDS RD
PRICE, UT 84501
Physician Assistant (Medical)
377 N FAIRGROUNDS RD
PRICE, UT 84501
Nurse Practitioner (Family)
377 N FAIRGROUNDS RD
PRICE, UT 84501
Nurse Practitioner (Family)
377 N FAIRGROUNDS RD
PRICE, UT 84501
Orthopaedic Surgery (Sports Medicine)
377 N FAIRGROUNDS RD
PRICE, UT 84501

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 Gagon's NPI number?

The NPI number for Shane Gagon is 1508951328. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Shane Gagon located?

Shane Gagon practices at 377 N Fairgrounds Rd, Price, UT 84501. The listed phone number is (435) 613-2200.

What is Shane Gagon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shane Gagon enrolled in Medicare?

Yes. Shane Gagon 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 Gagon accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Shane Gagon 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 Gagon affiliated with any hospitals?

According to CMS data, Shane Gagon is affiliated with Utah Valley Hospital and Castleview Hospital.

When was this NPI record last updated?

The NPPES record for Shane Gagon was last updated on December 31, 2021. 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.