Active NPI 1649448572 Individual Practitioner Male Practitioner

Shane D. Walker , PA

Physician Assistant • Wailuku, HI

Professional Overview & Biography Verified Profile Summary

Shane Walker, PA is a registered healthcare professional specializing in Physician Assistant in Wailuku, HI. Practice services are available at 55 MAUI LANI PKWY under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, adm sarscov2 50mcg/0.25mlbst, adm sarscov2 100mcg/0.5ml2nd. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Maui Lani Pkwy

Wailuku, HI 967932416

Telephone 8082436050

Associated Practice Facility / Clinic

🏢 Kaiser Foundation Health Plan Inc Facility NPI 1750402228

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Wailuku, HI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.2 Yrs

State Avg: 10.7 Yrs

Regional Practice Density

36 Specialists

Practicing in Wailuku, HI (389 Statewide)

Telehealth Adoption Rate

27.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$163.00	$66.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$153.00	$44.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$169.00	$78.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0064A Adm sarscov2 50mcg/0.25mlbst	412	412	$47.00	$37.13
0012A Adm sarscov2 100mcg/0.5ml2nd	171	171	$43.74	$37.13
0004A Fee covid-19 vac 1 res	87	87	$47.00	$37.13
0011A Adm sarscov2 100mcg/0.5ml1st	70	70	$43.96	$37.13
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	69	69	$45.22	$37.13
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	19	19	$44.20	$37.13
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$161.68	$71.96

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	11	11	$262.40	$76.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	88	87	$502.91	$51.98
99285 Emergency department visit for life threatening or functioning severity	82	79	$1117.90	$145.21
99284 Emergency department visit with moderate level of medical decision making	77	76	$743.77	$98.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	211	203	$486.00	$51.94
99285 Emergency department visit for life threatening or functioning severity	184	179	$1083.00	$144.62
99284 Emergency department visit with moderate level of medical decision making	174	168	$726.00	$98.12
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	102	94	$58.00	$6.98
12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$307.00	$47.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	169	165	$1009.74	$145.37
99283 Emergency department visit with low level of medical decision making	161	158	$455.68	$52.00
99284 Emergency department visit with moderate level of medical decision making	140	139	$680.09	$98.59
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	111	106	$53.22	$7.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	42	$279.05	$88.88
99213 Established patient office or other outpatient visit, typically 15 minutes	38	38	$189.08	$60.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$303.68	$89.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$440.00	$136.05
81003 Automated urinalysis test	16	16	$30.00	$3.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	12	$80.00	$21.17

Medical Specialties & State Licenses

CMS Verified: 2021-05-17

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License HI AMD-913

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

NUCC Taxonomy Code: 363A00000X

State License WA PA10005374

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8505448 (WA)

Commercial Insurance / Payer ID Labor & Indust

231200 (WA)

Commercial Insurance / Payer ID License

PA10005374 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. John Meisel , MD

Family Medicine

NPI 1003844465

Doctor of Medicine (M.D.)

Dr. Pamela Hope , MD

Internal Medicine

NPI 1003908757

Doctor of Medicine (M.D.)

Dr. Barbara Armstrong , PharmD

Pharmacist

NPI 1053455725

Doctor of Pharmacy (Pharm.D.)

Dr. Drosie Rosaro , MD

Internal Medicine

NPI 1053579920

Doctor of Medicine (M.D.)

Dr. Donald Kennedy , MD

Psychiatry & Neurology - Psychiatry

NPI 1073177630

Doctor of Medicine (M.D.)

Dr. Gary Wilkins , MD

Internal Medicine

NPI 1073696878

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 17, 2021

Registered at 55 MAUI LANI PKWY, WAILUKU, HI 967932416 (Tel: 8082436050)

📍

Updated Business Mailing Address May 17, 2021

Registered at 55 MAUI LANI PKWY, WAILUKU, HI 967932416 (Tel: 8082436050)

✅

NPI Profile Active October 23, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location October 23, 2009

Registered at 2051 EVERGREEN LN, SUITE A, SHOW LOW, AZ 859017928 (Tel: 5095377557)

📍

Updated Business Mailing Address October 23, 2009

Registered at PO BOX 1404, EAGAR, AZ 859251404 (Tel: 9283334875)

👤

Provider Name / Credentials Updated October 23, 2009

Recorded as SHANE WALKER, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2009

Physician Assistant (License #PA10005374 in WA)

🟢

Initial NPI Registration & Enumeration February 13, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1649448572

Entity Type:

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

Enumeration Date: February 13, 2008

Last Update: May 17, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

55 Maui Lani Pkwy

Wailuku, HI 967932416

Phone: 8082436050

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.