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Active NPI 1154422822 Individual Practitioner Male Practitioner

Dr. Shane Jensen , OD

Optometrist • Panguitch, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shane Jensen, OD is a certified Optometrist practicing in Panguitch, UT. With approximately 23 years of clinical experience since graduating from Pacific University - College Of Optometry in 2003, Dr. Jensen delivers high-quality medical care to the local community at 415 E. CENTER STREET.

Dr. Jensen is affiliated with Eastern Utah Eye Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

415 E. Center Street

Panguitch, UT 84759

Telephone 4356768646
Fax 4356768646
Associated Practice Facility / Clinic
🏢 Shane R Jensen Facility NPI 1548459068

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Panguitch, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs Matches City Avg
City Avg: 23.0 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Panguitch, UT (484 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
9.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jensen (23 Years) 23 Yrs
Panguitch Specialty Average (23.0 Years) 23.0 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
92014 Established patient complete exam of visual system
812 692 $128.87 $118.49
92012 Established patient problem focused exam of visual system
190 99 $95.00 $83.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
89 89 $165.00 $159.27
92250 Photography of the retina
80 78 $28.37 $20.48
92083 Exam of visual field with extended testing
15 15 $36.95 $29.79

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License UT 5354482-9934

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
D5075 (UT)
Commercial Insurance / Payer ID Tricare
043753766 (UT)
Commercial Insurance / Payer ID Humana
043753766 (UT)
Commercial Insurance / Payer ID Pehp
5354482-9934 (UT)
Commercial Insurance / Payer ID Ihc
107028627101 (UT)
Commercial Insurance / Payer ID Spectera
RR27009 (UT)
Commercial Insurance / Payer ID Altius
270343 (UT)
Commercial Insurance / Payer ID Optichoice
1595696 (UT)
Commercial Insurance / Payer ID Bluecross Blueshield
53544829900001 (UT)
Commercial Insurance / Payer ID Dmba
813540 (UT)

Hospital & Practice Group Affiliations

Eastern Utah Eye Physicians

200 N Fairgrounds Rd, Price, UT 845014228

Phone: 4356378689

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 16, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2008

Registered at 415 E. CENTER STREET, PANGUITCH, UT 84759 (Tel: 4356768646)

📍
Updated Business Mailing Address June 16, 2008

Registered at P.O. BOX 592, PANGUITCH, UT 84759 (Tel: 4356762761)

👤
Provider Name / Credentials Updated June 16, 2008

Recorded as SHANE JENSEN, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2008

Optometrist (License #5354482-9934 in UT)

🟢
Initial NPI Registration & Enumeration September 26, 2006

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: 1154422822
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: June 16, 2008
Sole Proprietor: Yes

Mailing Address

P.o. Box 592

Panguitch, UT 84759

Phone: 4356762761

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.