DR. SHANE A GAILUSHAS (MD) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1073786521
Otolaryngology/Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
50 OTOLARYNGOLOGY in NM
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Provider Addresses for DR. SHANE A GAILUSHAS (MD)
1190, Spring Creek Place, Springville, Utah County, Utah, 84663, United States
SUITE E1
SPRINGVILLE, UT 846633045
Phone: (801) 852-9888
Type: Mailing
MERCY EAR NOSE AND THROAT CLINIC
901 8TH AVENUE SE
CEDAR RAPIDS, IA 52401
Phone: (319) 398-6900
Fax: (319) 398-6901
Type: Mailing
8200, Carmel Avenue Northeast, Albuquerque, Bernalillo County, New Mexico, 87122, United States
SUITE 102A
ALBUQUERQUE, NM 871222941
Phone: (505) 514-0767
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $1,333.
Total Amount is formed as General ($1,333) + Research ($0) + Ownership ($0) = $1,333.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Integra LifeSciences Corporation ($484).
Total Amount
$1,333
General + Research + Ownership
Payments
43
Total payment records
General Amount
$1,333
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $484 |
| Acclarent, Inc | $303 |
| GENZYME CORPORATION | $123 |
| Medtronic, Inc. | $118 |
| Smith+Nephew, Inc. | $71 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-06-23
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160623000899 | I | Otolaryngology | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 191 | 111 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 177 | 114 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 72 | 61 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 62 | 62 | $0 |
| 31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | 51 | 20 | $0 |
Insurance plans in this area (ZIP 84663)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MO | |
| General Surgery, Colorectal Surgery (Proctology) | IL | |
| Physical Therapist In Private Practice | IA | |
| A N E S T H E S I O L O G Y | IA | |
| A N E S T H E S I O L O G Y | GA | |
| A N E S T H E S I O L O G Y | IA | |
| - | IA | |
| - | IA | |
| A N E S T H E S I O L O G Y | TX | |
| - | IA |
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