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Dr. Shane K Powell , MD

Ophthalmology โ€ข Roosevelt, UT

Active NPI 1750342655 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

210 W 300 N 75-3
Roosevelt, UT 84066

Call 4357223971 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

210 W 300 N 75-3

Roosevelt, UT 84066

Telephone 4357223971
Fax 4357226104
Organization at the Same NPPES Address or Phone
Northeastern Utah Medical Group Facility NPI 1740482009

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Northeastern Utah Medical Group; Uintah Basin Medical Center. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Utah School Of Medicine

Graduation Year

1994

Medicare patients

102 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $28,398 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $19,580 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

426 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$3,662 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $24.26 in 2021

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2021.

Guide: How to read an Open Payments record

Years since graduation

32 years (graduated 1994)

CMS Doctors and Clinicians data list 1994 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Powell has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Powell as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Roosevelt and Utah

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 90% of clinicians listed under Ophthalmology in Utah (2024, 139 clinicians with data). Median for this group: 1,318. Middle half: 622 to 2,162.

Too few clinicians listed under Ophthalmology in Roosevelt have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 80% of clinicians listed under Ophthalmology in Utah (2024, 139 clinicians with data). Median for this group: $147,745. Middle half: $71,222 to $276,099.

Too few clinicians listed under Ophthalmology in Roosevelt have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Ophthalmology in Utah (2024, 139 clinicians with data). Median for this group: $102,154. Middle half: $53,984 to $196,958.

Too few clinicians listed under Ophthalmology in Roosevelt have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 65% of clinicians listed under Ophthalmology in Utah (2024, 144 clinicians with data). Median for this group: 676. Middle half: 226 to 1,202.

Too few clinicians listed under Ophthalmology in Roosevelt have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 80% of clinicians listed under Ophthalmology in Utah (2024, 144 clinicians with data). Median for this group: $35,964. Middle half: $5,865 to $102,914.

Too few clinicians listed under Ophthalmology in Roosevelt have Medicare Part D data for 2024 to compare.

1 active clinicians are listed under Ophthalmology with a practice address in Roosevelt, UT (202 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2021
Disclosure Year:

Program year 2021 (payments made January 1 โ€“ December 31, 2021): fewer than 11 records totaling $24.26.

Manufacturer Payment Nature Product Type Amount ($)
Horizon Therapeutics plc
Education
In-kind items and services
TEPEZZA General $24.26

Source: CMS Open Payments, program year 2021, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
58 55 $281.10 $121.52
92012 Established patient problem focused exam of visual system
55 22 $193.44 $85.68
66984 Removal of cataract with insertion of prosthetic lens
26 20 $1564.85 $535.35
92004 New patient complete exam of visual system
19 19 $339.05 $143.05

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Latanoprost Latanoprost 136 6,522 $1,567.86 40
Brimonidine Tartrate Brimonidine Tartrate 65 2,481 $371.86 21
Timolol Maleate Timolol Maleate 53 2,652 $604.36 18
Travoprost Travoprost 11 543 $1,117.65 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

License # reported to NPPES UT 3083961205

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
D3889 (UT)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OPHTHALMOLOGY

Medicare Enrollment ID

I20100505000810

Enrollment State Jurisdiction

UT

PECOS Control ID

9234267642

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Northeastern Utah Medical Group

405 N 500, Vernal, UT 840781907

Phone: 4357896203

Uintah Basin Medical Center

250 W 300, Roosevelt, UT 840662336

Phone: 4357224691

Northeastern Utah Medical Group

475 N 500, Vernal, UT 840781907

Phone: 4357812030

Northeastern Utah Medical Group

210 W 300, Roosevelt, UT 840662336

Phone: 4357224691

Northeastern Utah Medical Group

250 W 300, Roosevelt, UT 840662336

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Dr. John Blake , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1508826587

Doctor of Medicine (M.D.)

NPI 1861452070

Doctor of Medicine (M.D.)

Bradley Jenkins , FNP

Nurse Practitioner

NPI 1912968538

Family Nurse Practitioner

Brett Larsen , PA

Physician Assistant

NPI 1639367337

Physician Assistant

Darwin Mckee , PA-C

Physician Assistant

NPI 1023079910

Physician Assistant (Certified)

NPI 1497715593

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
โœ…
NPI Profile Active June 20, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location June 20, 2017

Registered at 210 W 300 N 75-3, ROOSEVELT, UT 84066 (Tel: 4357223971)

๐Ÿ“
Updated Business Mailing Address June 20, 2017

Registered at 210 W 300 N 75-3, ROOSEVELT, UT 84066 (Tel: 4357223971)

๐Ÿ‘ค
Provider Name / Credentials Updated June 20, 2017

Recorded as SHANE POWELL, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2017

Ophthalmology (license number reported to NPPES: UT 3083961205)

โœ…
NPI Profile Active January 08, 2008

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 08, 2008

Registered at 210 W 300 N 75-3, ROOSEVELT, UT 84066 (Tel: 4357223971)

๐Ÿ“
Business Mailing Address (Initial Record) January 08, 2008

Registered at 210 W 300 N 75-3, ROOSEVELT, UT 84066 (Tel: 4357223971)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 08, 2008

Recorded as SHANE POWELL, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2008

Ophthalmology (license number reported to NPPES: UT 3083961205)

๐ŸŸข
Initial NPI Registration & Enumeration March 30, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750342655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2006
Last Update: June 20, 2017
Sole Proprietor: Yes

Mailing Address

210 W 300 N 75-3

Roosevelt, UT 84066

Phone: 4357223971

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.