Active NPI 1477510329 Individual Practitioner Male Practitioner

Dr. Scott Shipley , MD

Otolaryngology • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Shipley, MD is a certified Otolaryngology practicing in Provo, UT. With approximately 26 years of clinical experience since graduating from Saint Louis University School Of Medicine in 2000, Dr. Shipley delivers high-quality medical care to the local community at 1055 N 300 W STE 401.

Dr. Shipley is affiliated with Peak Ent Associates and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, ct scan of face. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1055 N 300 W Ste 401

Provo, UT 846043306

Telephone 8013577499

Fax 8013735980

Associated Practice Facility / Clinic

🏢 Seth A Riddle, M.d., P.c. Facility NPI 1326126772

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Provo, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +2.5 yrs vs City Avg

City Avg: 23.5 Yrs

State Avg: 22.3 Yrs

Regional Practice Density

9 Specialists

Practicing in Provo, UT (122 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shipley (26 Years) 26 Yrs

Provo Specialty Average (23.5 Years) 23.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	47	$205.00	$121.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$260.00	$153.74
99213 Established patient office or other outpatient visit, typically 15 minutes	45	37	$175.00	$85.19
70486 CT scan of face	18	16	$550.00	$121.92
42975 Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope	17	17	$300.00	$89.44
64582 Insertion of hypoglossal nerve neurostimulator electrode and generator and breathing sensor electrode	13	13	$2200.00	$733.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$185.00	$105.86

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	95	60	$205.00	$120.61
99213 Established patient office or other outpatient visit, typically 15 minutes	73	48	$175.00	$85.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$260.00	$156.20
69210 Removal of impacted ear wax	22	20	$92.00	$45.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$185.00	$106.59
95976 Electronic analysis of neurostimulator generator with simple cranial nerve stimulator programming	21	11	$125.00	$38.09
70486 CT scan of face	20	18	$550.00	$124.99
42975 Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope	14	13	$300.00	$91.76
64582 Insertion of hypoglossal nerve neurostimulator electrode and generator and breathing sensor electrode	14	13	$2200.00	$806.82

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	89	60	$205.00	$121.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$248.60	$156.10
99213 Established patient office or other outpatient visit, typically 15 minutes	37	31	$175.00	$86.45
95976 Electronic analysis of neurostimulator generator with simple cranial nerve stimulator programming	31	16	$125.00	$39.18
69210 Removal of impacted ear wax	22	21	$88.00	$45.45
70486 CT scan of face	17	16	$550.00	$126.79
31575 Diagnostic exam of voice box using a flexible endoscope	16	15	$250.00	$123.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$185.00	$107.42
64582 Insertion of hypoglossal nerve neurostimulator electrode and generator and breathing sensor electrode	13	13	$2200.00	$833.82
42975 Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope	13	13	$300.00	$100.51

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	117	78	$205.00	$124.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$247.50	$159.19
99213 Established patient office or other outpatient visit, typically 15 minutes	50	40	$175.00	$87.78
69210 Removal of impacted ear wax	26	24	$88.00	$43.27
70486 CT scan of face	18	17	$550.00	$131.42
31575 Diagnostic exam of voice box using a flexible endoscope	11	11	$250.00	$57.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$247.50	$159.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	55	$205.00	$105.90
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$175.00	$72.72
69210 Removal of impacted ear wax	20	18	$88.00	$45.89
31575 Diagnostic exam of voice box using a flexible endoscope	16	16	$250.00	$118.60

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	76	56	$205.00	$103.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$247.50	$160.45
99213 Established patient office or other outpatient visit, typically 15 minutes	49	42	$175.00	$71.94
69210 Removal of impacted ear wax	29	27	$88.00	$42.30
31575 Diagnostic exam of voice box using a flexible endoscope	28	26	$243.75	$109.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$185.00	$105.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$247.50	$155.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	69	$175.00	$102.84
99213 Established patient office or other outpatient visit, typically 15 minutes	64	54	$135.00	$68.84
69210 Removal of impacted ear wax	42	37	$90.10	$45.59
31575 Diagnostic exam of voice box using a flexible endoscope	26	24	$215.00	$97.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$185.00	$102.32
92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder	11	11	$140.00	$76.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$247.50	$150.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	60	$175.00	$97.74
69210 Removal of impacted ear wax	47	44	$88.00	$44.79
99213 Established patient office or other outpatient visit, typically 15 minutes	42	36	$135.00	$65.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$185.00	$99.98
31575 Diagnostic exam of voice box using a flexible endoscope	21	20	$215.00	$103.52

Medical Specialties & State Licenses

CMS Verified: 2022-02-10

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License UT 7494120-1205

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Hospital & Practice Group Affiliations

Peak Ent Associates

1055 N 300 W, Provo, UT 846043306

Phone: 8013577499

Practice Associates & Co-Workers

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

27 Associated Practitioners

Elise Davis , FNP-C

Registered Nurse

NPI 1003613860

Family Nurse Practitioner (Certified)

Dr. Christopher Hamilton , MD

Otolaryngology

NPI 1073177796

Doctor of Medicine (M.D.)

Dr. Phillip Chaffin , MD

Otolaryngology - Pediatric Otolaryngology

NPI 1134355225

Doctor of Medicine (M.D.)

Dr. Curtis Thomas , AuD

Audiologist

NPI 1184761736

Doctor of Audiology

Jenny Coy , NP

Nurse Practitioner

NPI 1215351416

Nurse Practitioner

Dr. Kirt Beus , MD

Otolaryngology

NPI 1396765871

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location February 10, 2022

Registered at 1055 N 300 W STE 401, PROVO, UT 846043306 (Tel: 8013577499)

📍

Updated Business Mailing Address February 10, 2022

Registered at 1055 N 300 W STE 401, PROVO, UT 846043306 (Tel: 8013577499)

👤

Provider Name / Credentials Updated February 10, 2022

Recorded as SCOTT SHIPLEY, MD

✅

NPI Profile Active January 23, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2012

Registered at 1055 N 300 W, SUITE 401, PROVO, UT 846043344 (Tel: 8013577499)

📍

Updated Business Mailing Address January 23, 2012

Registered at 1055 N 300 W, SUITE 401, PROVO, UT 846043344 (Tel: 8013577499)

👤

Provider Name / Credentials Updated January 23, 2012

Recorded as SCOTT SHIPLEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2012

Otolaryngology (License #7494120-1205 in UT)

🟢

Initial NPI Registration & Enumeration April 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: 1477510329

Entity Type:

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

Enumeration Date: April 26, 2006

Last Update: February 10, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1055 N 300 W Ste 401

Provo, UT 846043306

Phone: 8013577499

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.