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DR. SHANE MICHAEL HAWTHORNE MD
NPI 1629462189
Family Medicine in Orem, UT

Active since March 23, 2015PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Shane Michael Hawthorne Md NPPES

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

DR. SHANE MICHAEL HAWTHORNE MD (NPI 1629462189) is an individual family medicine provider in Orem, Utah, licensed in Utah (5450642-1205) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of University Of Utah School Of Medicine (2015).

NPPES Registry Identity

NPI1629462189
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHANE MICHAEL HAWTHORNECredential: MD
Location Address155 W 400 NOrem, UT 84057-4658
Mailing Address830 N 2000 WPleasant Grove, UT 84062-4047 · (801) 443-1139
Phone(801) 224-1300
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2015
Enumeration DateMarch 23, 2015
Last NPPES UpdateAugust 6, 2019
✔ NPI 1629462189 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 · 5450642-1205
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.
155 W 400 N, Orem, UT 84057
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare 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 and accepts Medicare assignment

Dr. Shane Michael Hawthorne Md 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 ID840594388
PECOS Enrollment IDI20191015002700
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 Reassignment

Medicare enrollment records show Shane Hawthorne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Family Medical - Vineyard
1.1 mi
Family Medicine
707 E MILL RD STE 303
Vineyard, UT 84059
  • Reassigned Medicare billing, Utah enrollment
  • Medicare enrollment name: Premier Family Medical
  • 83 clinicians in this Medicare group
NPI 1093301566 (801) 224-1300

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

Areas of Expertise CMS Part B claims 8

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.
167 services78 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.
34 services34 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.
33 services27 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
32 services32 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.
26 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Orem Community Hospital

Acute Care Hospitals · Orem, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460043
Location331 North 400 WestOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Timpanogos Regional Hospital

Acute Care Hospitals · Orem, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460052
Location750 West 800 NorthOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84057 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.

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 Hawthorne's NPI number?

The NPI number for Shane Hawthorne is 1629462189. It was assigned to this individual provider in the NPPES registry on March 23, 2015.

Where is Shane Hawthorne located?

Shane Hawthorne practices at 155 W 400 N, Orem, UT 84057. The listed phone number is (801) 224-1300.

What is Shane Hawthorne's specialty?

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

Is Shane Hawthorne enrolled in Medicare?

Yes. Shane Hawthorne 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.

Which organization bills Medicare for Shane Hawthorne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Hawthorne reassigns Medicare benefits to Premier Family Medical - Vineyard (Vineyard, UT). The 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 Shane Hawthorne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Hawthorne accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Shane Hawthorne 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 Hawthorne affiliated with any hospitals?

According to CMS data, Shane Hawthorne is affiliated with Utah Valley Hospital, Orem Community Hospital and Timpanogos Regional Hospital.

When was this NPI record last updated?

The NPPES record for Shane Hawthorne was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.