SHANE D GAGON M.D. NPI 1508951328

NPI Information

  • NPI: 1508951328
  • Provider Name: SHANE D GAGON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 377 N FAIRGROUNDS RD
    PRICE, UT
    ZIP 84501
  • Phone: (435) 613-2200

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NPI Details

Shane D Gagon, M.D. is a family medicine in Price, UT with 28 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Shane D Gagon, M.D. NPI is 1508951328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

377 N FAIRGROUNDS RD
PRICE, UT
ZIP 84501-208
Phone: (435) 613-2200
Fax: (435) 613-2201

The NPI 1508951328 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Hemoglobin a1c level (HCPCS:83036)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Automated urinalysis test (HCPCS:81003)
  • Blood test, clotting time (HCPCS:85610)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS:G0447)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Hospital observation care on day of discharge (HCPCS:99217)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)
  • Initial hospital observation care per day, typically 50 minutes (HCPCS:99219)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)

The enumeration date for this NPI number is 10/4/2006 and was last updated on 12/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine361555-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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