Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750342655 Individual Practitioner Male Practitioner

Dr. Shane K Powell , MD

Ophthalmology • Roosevelt, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shane Powell, MD is a certified Ophthalmology practicing in Roosevelt, UT. With approximately 32 years of clinical experience since graduating from University Of Utah School Of Medicine in 1994, Dr. Powell delivers high-quality medical care to the local community at 210 W 300 N 75-3.

Dr. Powell maintains professional affiliations with Northeastern Utah Medical Group, Uintah Basin Medical Center 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, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

210 W 300 N 75-3

Roosevelt, UT 84066

Telephone 4357223971
Fax 4357226104
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Roosevelt, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs Matches City Avg
City Avg: 32.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Roosevelt, UT (211 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Powell (32 Years) 32 Yrs
Roosevelt Specialty Average (32.0 Years) 32.0 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
58 55 $281.10 $121.52
92012 Established patient problem focused exam of visual system
55 22 $193.44 $85.68
66984 Removal of cataract with insertion of lens
26 20 $1564.85 $535.35
92004 New patient complete exam of visual system
19 19 $339.05 $143.05

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License UT 3083961205

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
D3889 (UT)

Hospital & Practice Group Affiliations

Northeastern Utah Medical Group

405 N 500, Vernal, UT 840781907

Phone: 4357896203

Uintah Basin Medical Center

250 W 300, Roosevelt, UT 840662336

Phone: 4357224691

Northeastern Utah Medical Group

475 N 500, Vernal, UT 840781907

Phone: 4357812030

Northeastern Utah Medical Group

210 W 300, Roosevelt, UT 840662336

Phone: 4357224691

Northeastern Utah Medical Group

250 W 300, Roosevelt, UT 840662336

Practice Associates & Co-Workers

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

16 Associated Practitioners
NPI 1023078045

Doctor of Medicine (M.D.)

Darwin Mckee , PA-C

Physician Assistant

NPI 1023079910

Physician Assistant (Certified)

Lori Teem , FNP

Nurse Practitioner

NPI 1083675649

Family Nurse Practitioner

Dr. John Nolte , MD

Obstetrics & Gynecology

NPI 1194786095

Doctor of Medicine (M.D.)

Dr. Gary White , MD

Family Medicine

NPI 1205897196

Doctor of Medicine (M.D.)

NPI 1275593717

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active June 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2017

Registered at 210 W 300 N 75-3, ROOSEVELT, UT 84066 (Tel: 4357223971)

📍
Updated Business Mailing Address June 20, 2017

Registered at 210 W 300 N 75-3, ROOSEVELT, UT 84066 (Tel: 4357223971)

👤
Provider Name / Credentials Updated June 20, 2017

Recorded as SHANE POWELL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2017

Ophthalmology (License #3083961205 in UT)

NPI Profile Active January 08, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2008

Registered at 210 W 300 N 75-3, ROOSEVELT, UT 84066 (Tel: 4357223971)

📍
Updated Business Mailing Address January 08, 2008

Registered at 210 W 300 N 75-3, ROOSEVELT, UT 84066 (Tel: 4357223971)

👤
Provider Name / Credentials Updated January 08, 2008

Recorded as SHANE POWELL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2008

Ophthalmology (License #3083961205 in UT)

🟢
Initial NPI Registration & Enumeration March 30, 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: 1750342655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2006
Last Update: June 20, 2017
Sole Proprietor: Yes

Mailing Address

210 W 300 N 75-3

Roosevelt, UT 84066

Phone: 4357223971

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.