Active NPI 1255859567 Individual Practitioner Male Practitioner

Shane Mcbride Smith , PA-C

Physician Assistant • Show Low, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shane Smith, PA-C is a certified Physician Assistant practicing in Show Low, AZ. With approximately 9 years of clinical experience since completing medical education in 2017, Shane Smith delivers high-quality medical care to the local community at 2200 E SHOW LOW LAKE RD.

Shane Smith accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2200 E Show Low Lake Rd

Show Low, AZ 859017831

Telephone 9285374375

Associated Practice Facility / Clinic

🏢 Summit Healthcare Association Facility NPI 1144209271

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 Show Low, AZ

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs +0.1 yrs vs City Avg

City Avg: 8.9 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

20 Specialists

Practicing in Show Low, AZ (3711 Statewide)

Telehealth Adoption Rate

5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (9 Years) 9 Yrs

Show Low Specialty Average (8.9 Years) 8.9 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
99284 Emergency department visit with moderate level of medical decision making	222	217	$375.83	$98.32
99285 Emergency department visit for life threatening or functioning severity	73	73	$607.95	$142.21
99283 Emergency department visit with low level of medical decision making	68	67	$181.78	$57.82
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	63	61	$27.57	$6.60
99291 Critical care, first 30-74 minutes	20	20	$1001.50	$172.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	171	171	$294.00	$99.84
99213 Established patient office or other outpatient visit, typically 15 minutes	104	100	$185.00	$74.45
99285 Emergency department visit for life threatening or functioning severity	56	55	$433.00	$145.26
99283 Emergency department visit with low level of medical decision making	50	49	$155.00	$59.36
81002 Urinalysis, manual test	25	25	$8.00	$3.41
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	25	25	$21.00	$6.70
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	21	21	$88.00	$34.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$270.00	$101.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$269.00	$92.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	12	$41.00	$11.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	277	255	$185.00	$74.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$269.00	$92.74
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	54	53	$88.00	$34.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	50	12	$10.00	$1.17
81002 Urinalysis, manual test	48	46	$8.00	$3.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$270.00	$105.91
99284 Emergency department visit with moderate level of medical decision making	38	38	$294.00	$101.82
99285 Emergency department visit for life threatening or functioning severity	35	35	$433.00	$147.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	26	$41.00	$11.86
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	20	20	$21.00	$6.88
99283 Emergency department visit with low level of medical decision making	13	12	$155.00	$60.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	154	137	$185.00	$76.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$269.00	$93.86
81002 Urinalysis, manual test	34	33	$8.00	$3.48
99284 Emergency department visit with moderate level of medical decision making	23	23	$294.00	$103.36
99285 Emergency department visit for life threatening or functioning severity	18	18	$433.00	$150.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$41.00	$11.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	62	$270.00	$91.42
99213 Established patient office or other outpatient visit, typically 15 minutes	64	56	$185.00	$62.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$269.00	$90.41
81002 Urinalysis, manual test	27	26	$8.00	$3.46
99284 Emergency department visit with moderate level of medical decision making	17	17	$294.00	$101.32
99285 Emergency department visit for life threatening or functioning severity	13	13	$433.00	$146.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	12	$41.00	$11.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	85	$177.14	$61.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	55	$249.66	$90.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$405.74	$137.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$264.38	$90.18
81002 Urinalysis, manual test	26	24	$9.23	$3.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	15	$46.87	$13.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	109	$130.00	$60.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$195.00	$90.09
81002 Urinalysis, manual test	31	31	$10.00	$3.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$190.00	$89.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$295.00	$132.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	13	$63.00	$15.23

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 6819

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.

Practice Associates & Co-Workers

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

25 Associated Practitioners

Leanne Tawoda , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073585758

Certified Registered Nurse Anesthetist

Dr. Bruce Hall , MD

Emergency Medicine

NPI 1104803493

Doctor of Medicine (M.D.)

Justin Hazen , PA-C

Physician Assistant

NPI 1114363603

Physician Assistant (Certified)

Dr. Philip Johnson , MD

Emergency Medicine

NPI 1144209511

Doctor of Medicine (M.D.)

Dr. Susan Davies , MD

Emergency Medicine

NPI 1205815206

Doctor of Medicine (M.D.)

Brent Veerman

Emergency Medicine

NPI 1225602329

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 07, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 07, 2017

Registered at 2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 859017831 (Tel: 9285374375)

📍

Updated Business Mailing Address September 07, 2017

Registered at 1400 BREINHOLT LN, SHOW LOW, AZ 85901

👤

Provider Name / Credentials Updated September 07, 2017

Recorded as SHANE SMITH, PA-C

🎓

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

Physician Assistant (License #6819 in AZ)

🟢

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: 1255859567

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 07, 2017

Last Update: September 07, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1400 Breinholt Ln

Show Low, AZ 85901

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.