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Active NPI 1679091920 Individual Practitioner Male Practitioner

Shane Joseph Ewalt , PHYSICIAN ASSISTANT

Physician Assistant • Chandler, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shane Ewalt, PHYSICIAN ASSISTANT is a certified Physician Assistant practicing in Chandler, AZ. With approximately 9 years of clinical experience since completing medical education in 2017, Shane Ewalt delivers high-quality medical care to the local community at 525 S CHANDLER VILLAGE DR.

Shane Ewalt is affiliated with Orthopedic Specialists Of North America Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

525 S Chandler Village Dr

Chandler, AZ 852265069

Telephone 4807500303
Fax 4807865202
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chandler, AZ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs +0.2 yrs vs City Avg
City Avg: 8.8 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
149 Specialists

Practicing in Chandler, AZ (3711 Statewide)

Telehealth Adoption Rate
16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ewalt (9 Years) 9 Yrs
Chandler Specialty Average (8.8 Years) 8.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg
4,560 85 $0.35 $0.13
99213 Established patient office or other outpatient visit, typically 15 minutes
197 153 $221.05 $75.10
20610 Aspiration and/or injection of fluid from large joint
145 118 $216.00 $57.85
73030 X-ray of shoulder, minimum of 2 views
98 79 $89.00 $28.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
74 74 $323.00 $92.03
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
60 41 $1400.00 $670.23
73564 X-ray of knee, 4 or more views
55 44 $123.00 $38.87
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance
46 36 $298.91 $84.53
J1030 Injection, methylprednisolone acetate, 40 mg
25 23 $25.00 $6.33
72040 X-ray of upper spine, 2-3 views
16 16 $109.00 $32.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
15 15 $134.40 $46.57
73080 X-ray of elbow, minimum of 3 views
15 11 $88.00 $25.75
29827 Repair of shoulder rotator cuff using an endoscope
12 12 $1139.77 $140.48
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope
12 12 $420.00 $22.22

Medical Specialties & State Licenses

CMS Verified: 2022-07-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 6865

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.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License AZ 6865

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
326698 (AZ)

Hospital & Practice Group Affiliations

Orthopedic Specialists Of North America Pllc

5620 E Bell Rd, Scottsdale, AZ 852545950

Phone: 6023852115

Orthopedic Specialists Of North America Pllc

8405 N Pima Ctr Pkwy, Scottsdale, AZ 852584638

Phone: 6024939361

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Micaela Hilger , PA-C

Physician Assistant

NPI 1699222703

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2021

Physician Assistant (License #6865 in AZ)

📍
Updated Practice Location October 23, 2020

Registered at 525 S CHANDLER VILLAGE DR, CHANDLER, AZ 852265069 (Tel: 4807500303)

📍
Updated Business Mailing Address October 23, 2020

Registered at PO BOX 80217, PHOENIX, AZ 850600217 (Tel: 6023852115)

NPI Profile Active September 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2017

Registered at 2222 E HIGHLAND AVE STE 300, PHOENIX, AZ 850164879 (Tel: (602) 277-6211)

📍
Updated Business Mailing Address September 07, 2017

Registered at 2222 E HIGHLAND AVE STE 300, PHOENIX, AZ 850164879 (Tel: 6022776211)

👤
Provider Name / Credentials Updated September 07, 2017

Recorded as SHANE EWALT, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2017

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 07, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679091920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2017
Last Update: July 29, 2022
Sole Proprietor: No

Mailing Address

Po Box 80217

Phoenix, AZ 850600217

Phone: 6023852115

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.