Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679681167 Individual Practitioner Male Practitioner

Dr. Charles Jeffrey Shields , DO

Anesthesiology • Providence, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Shields, DO is a certified Anesthesiology practicing in Providence, UT. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Shields delivers high-quality medical care to the local community at 560 W 465 N STE 604.

Dr. Shields is affiliated with Interwest Anesthesia Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for lens surgery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

560 W 465 N Ste 604

Providence, UT 843328006

Telephone 4357531600
Fax 4357539521
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Providence, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +9.9 yrs vs City Avg
City Avg: 14.1 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
24 Specialists

Practicing in Providence, UT (687 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
32.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shields (24 Years) 24 Yrs
Providence Specialty Average (14.1 Years) 14.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope
18 18 $175.00 $118.54
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
14 14 $190.43 $129.13

Medical Specialties & State Licenses

CMS Verified: 2026-06-17
Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License UT 9379328-1204

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1679681167 (UT)

Hospital & Practice Group Affiliations

Interwest Anesthesia Associates Llc

55 E Golf Course Rd, Logan, UT 843210001

Phone: 4357603734

Interwest Anesthesia Associates Llc

2380 N 400, North Logan, UT 843416000

Phone: 4357139700

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013159003

Doctor of Medicine (M.D.)

Dr. Jon Robison , MD

Anesthesiology

NPI 1013967801

Doctor of Medicine (M.D.)

Peter Daines

Anesthesiology

NPI 1033169198
NPI 1063648541

Doctor of Medicine (M.D.)

Dr. Vikas Garg , MD

Anesthesiology - Pain Medicine

NPI 1104852599

Doctor of Medicine (M.D.)

Mitchell Udy

Audiologist

NPI 1134174543

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 17, 2026

Registered at 560 W 465 N STE 604, PROVIDENCE, UT 843328006 (Tel: 4357531600)

📍
Updated Business Mailing Address June 17, 2026

Registered at 560 W 465 N STE 604, PROVIDENCE, UT 843328006 (Tel: 4357531600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2026

Anesthesiology (License #9379328-1204 in UT)

NPI Profile Active December 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 23, 2011

Registered at 842 E MAIN ST, MEDFORD, OR 975047134 (Tel: 5417737273)

📍
Updated Business Mailing Address December 23, 2011

Registered at PO BOX 1705, MEDFORD, OR 975010132 (Tel: 5417737273)

👤
Provider Name / Credentials Updated December 23, 2011

Recorded as CHARLES SHIELDS, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2011

Anesthesiology (License #DO26527 in OR)

🟢
Initial NPI Registration & Enumeration August 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: 1679681167
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2006
Last Update: June 17, 2026
Sole Proprietor: No

Mailing Address

560 W 465 N Ste 604

Providence, UT 843328006

Phone: 4357531600

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.