SHAUN C SHURTLIFF (DO) – Family Medicine Physician, NPI 1285719294
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
Loading map...
Provider Addresses for SHAUN C SHURTLIFF (DO)
175, North 100 West, Vernal, Uintah County, Utah, 84078, United States
STE 103
VERNAL, UT 840782049
Phone: (435) 781-8899
Fax: (435) 781-8898
Type: Mailing
40, West Main Street, Vernal, Uintah County, Utah, 84078, United States
VERNAL, UT 840782416
Phone: (435) 781-8899
Fax: (435) 781-8898
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 71 Open Payments records for all available years, with a total value of $1,411.
Total Amount is formed as General ($1,411) + Research ($0) + Ownership ($0) = $1,411.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($422).
Total Amount
$1,411
General + Research + Ownership
Payments
71
Total payment records
General Amount
$1,411
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $422 |
| AstraZeneca Pharmaceuticals LP | $256 |
| Xeris Pharmaceuticals, Inc. | $113 |
| Bayer Healthcare Pharmaceuticals Inc. | $67 |
| LINUS HEALTH, INC. | $52 |
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: 2003-12-27
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20031227000010 | I | Family Practice | UT | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,303 | 328 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 917 | 357 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 436 | 237 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 233 | 233 | $0 |
| 83036 | Hemoglobin a1c level | 227 | 119 | $0 |
Insurance plans in this area (ZIP 84078)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.