DR. SHANE K POWELL MD
NPI 1750342655
Ophthalmology in Roosevelt, UT

Active since March 30, 2006PECOS EnrolledAccepts Medicare Assignment
66.09/100
CMS Quality Rating
210 W 300 N 75-3, ROOSEVELT, UT 84066(435) 722-3971(435) 722-6104 Get Directions Write a Review

NPPES record last updated: June 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1750342655
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SHANE K POWELLCredential: MD
Location Address210 W 300 N 75-3Roosevelt, UT 84066
Mailing Address210 W 300 N 75-3Roosevelt, UT 84066 · (435) 722-3971 · Fax (435) 722-6104
Fax(435) 722-6104
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1994
Enumeration DateMarch 30, 2006
Last NPPES UpdateJune 20, 2017
NPI 1750342655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in UT · 3083961205
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
210 W 300 N 75-3, Roosevelt, UT 84066

Other Identifiers 4

Medicare UPINH41818UT
Medicare PIN006486029UT
MedicaidD3889UT
Medicare NSC1068670001UT

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

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.

PECOS PAC ID9234267642
PECOS Enrollment IDI20100505000810
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 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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
58 services55 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
55 services22 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
26 services20 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
19 services19 patients

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, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460019
Location250 West 300 NorthRoosevelt, UT 84066 · Duchesne County
Emergency services Birthing friendly

Physician 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.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
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.

66.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.7
Promoting Interoperability100
Improvement Activities40
Cost47.28

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.

Pediatrics
210 W 300 N 75-3
ROOSEVELT, UT 84066
Physician Assistant
210 W 300 N 75-3
ROOSEVELT, UT 84066
Nurse Practitioner
210 W 300 N 75-3
ROOSEVELT, UT 84066
Obstetrics & Gynecology
210 W 300 N 75-3
ROOSEVELT, UT 84066
Pediatrics
210 W 300 N 75-3
ROOSEVELT, UT 84066
Physical Medicine & Rehabilitation
210 W 300 N 75-3
ROOSEVELT, UT 84066
Family Medicine
210 W 300 N 75-3
ROOSEVELT, UT 84066
Otolaryngology
210 W 300 N 75-3
ROOSEVELT, UT 84066

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.

What insurance does Shane Powell accept?

Health plans from BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Molina Healthcare, 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.