DR. SHANE K POWELL MD
NPI 1750342655
Ophthalmology in Roosevelt, UT
About Dr. Shane K Powell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANE K POWELL MD (NPI 1750342655) is an individual ophthalmology provider in Roosevelt, Utah, licensed in Utah (3083961205) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Uintah Basin Medical Center, and is a graduate of University Of Utah School Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted 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 K Powell 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shane Powell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roosevelt, UT 84066
- Reassigned Medicare billing, Utah enrollment
- 94 clinicians in this Medicare group
Roosevelt, UT 84066
- Reassigned Medicare billing, Utah enrollment
- 78 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uintah Basin Medical Center
Acute Care Hospitals · Roosevelt, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Powell's NPI number?
The NPI number for Shane Powell is 1750342655. It was assigned to this individual provider in the NPPES registry on March 30, 2006.
Where is Shane Powell located?
Shane Powell practices at 210 W 300 N 75-3, Roosevelt, UT 84066. The listed phone number is (435) 722-3971.
What is Shane Powell's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Shane Powell enrolled in Medicare?
Yes. Shane Powell 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 organizations bill Medicare for Shane Powell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shane Powell reassigns Medicare benefits to 2 organizations: Uintah Basin Medical Center (Roosevelt, UT) and Northeastern Utah Medical Group (Roosevelt, UT). 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 Shane Powell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shane Powell accept?
Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Shane Powell 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 Powell affiliated with any hospitals?
According to CMS data, Shane Powell is affiliated with Uintah Basin Medical Center.
When was this NPI record last updated?
The NPPES record for Shane Powell was last updated on June 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Shane K Powell, MD · NPI 1750342655
Ophthalmology physician in Roosevelt, Utah. Individual provider, active in the CMS NPPES registry since March 30, 2006.
## Identity
- **NPI:** 1750342655 (Entity type: Individual)
- **Enumerated:** March 30, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 3083961205 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 210 W 300 N 75-3, Roosevelt, UT 84066
- **Phone:** (435) 722-3971 · **Fax:** (435) 722-6104
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Uintah Basin Medical Center (NPI 1871556217, Roosevelt, UT); Northeastern Utah Medical Group (NPI 1982664199, Roosevelt, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 1994
## Record status
- **NPPES last updated:** June 20, 2017
- **Other identifiers:** Medicare UPIN H41818 (UT); Medicare PIN 006486029 (UT); Medicaid D3889 (UT); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1750342655) · Data from the CMS NPPES public registry.