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SAMUEL KIRK SHEWAN PA-C
NPI 1669875886
Physician Assistant in Salt Lake City, UT

Active since October 01, 2014PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112(015) 874-6878 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Kirk Shewan Pa-c NPPES

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

SAMUEL KIRK SHEWAN PA-C (NPI 1669875886) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (9806476-1206) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1669875886
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL KIRK SHEWANCredential: PA-C
Location Address2000 CIRCLE OF HOPE DRSalt Lake City, UT 84112-5550
Mailing Address3621 S State St, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047
Phone(015) 874-6878
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 1, 2014
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1669875886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 9806476-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2000 CIRCLE OF HOPE DR, Salt Lake City, UT 84112
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Samuel Kirk Shewan Pa-c 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 ID5799906137
PECOS Enrollment IDI20160802002615
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 6

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
267 services119 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
89 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
48 services37 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
43 services43 patients
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.
29 services25 patients
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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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.

MELANIE HUNTER PHARMD
Pharmacist
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 842-8755
KELLY LYNN KONOPA MD
Internal Medicine (Hematology & Oncology)
2000 CIRCLE OF HOPE DR, SUITE 2100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-0255
DR. HELOISA PRADO SOARES M.D.
Internal Medicine (Hematology & Oncology)
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 646-4016
BENJAMIN WONG DPT
Physical Therapist
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-0303
ANNA JUNE SAVEY
Speech-Language Pathologist
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-7000
EVELYN ON KEI TSUI P.A-C
Physician Assistant
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-3229
MS. WENDY KAREN KOHLMANN MS
Genetic Counselor, MS
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-5556
DR. CHRISTINE LOUISE CROSSNO PHARM.D., BCOP
Pharmacist (Oncology)
2000 CIRCLE OF HOPE DR, HUNTSMAN CANCER INSTITUTE, DEPT OF PHARMACY
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-4029

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 Samuel Shewan's NPI number?

The NPI number for Samuel Shewan is 1669875886. It was assigned to this individual provider in the NPPES registry on October 1, 2014.

Where is Samuel Shewan located?

Samuel Shewan practices at 2000 Circle Of Hope Dr, Salt Lake City, UT 84112. The listed phone number is (015) 874-6878.

What is Samuel Shewan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samuel Shewan enrolled in Medicare?

Yes. Samuel Shewan 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 Samuel Shewan accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Samuel Shewan 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 Samuel Shewan affiliated with any hospitals?

According to CMS data, Samuel Shewan is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Samuel Shewan was last updated on March 29, 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.