SHANE T GONZALES (M.D.) – Anesthesiology Physician, NPI 1346290335

SHANE T GONZALES (M.D.) is a healthcare provider. based in Logan, Utah. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 5139675-1205 (UT). The NPI Number for SHANE T GONZALES (M.D.) is 1346290335

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
SHANE T GONZALES (M.D.)
NPI
1346290335
Phone
(435) 753-1600
Address
274 N MAIN ST
Enumeration Date
11 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
4357139700
Graduation Year
2000 (26 years ago)
PAC ID
5193708428
Group Practice PAC ID
0042293359
Professional Enrollment ID
I20040609000561
Address ID
UT843416000NO2380X400X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

565 ANESTHESIOLOGY in UT

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Provider Addresses for SHANE T GONZALES (M.D.)

  • 274, Main Street, Sterling, Logan County, Colorado, 80751, United States

    LOGAN, UT 843213915

    Phone: (435) 753-1600

    Fax: (435) 753-9521

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-06-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040609000561IAnesthesiologyUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope1616$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 84321)

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Provider's Procedures

SHANE T GONZALES (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYUT00142Anesthesia for lens surgery1211

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042293359View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YUT
-UT
Anesthesiology, Pain ManagementPA
A N E S T H E S I O L O G YUT
-UT
A N E S T H E S I O L O G YAZ
A N E S T H E S I O L O G YAZ
A N E S T H E S I O L O G YUT
Certified Registered Nurse Anesthetist (Crna)WA

Reviews

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Frequently asked questions

Can I cross-check SHANE T GONZALES (M.D.) using NPI 1346290335?
NPI 1346290335 belongs to SHANE T GONZALES (M.D.); compare other details if you need extra assurance.
Is SHANE T GONZALES (M.D.) shown as active in public data?
Registry records indicate SHANE T GONZALES (M.D.) maintains an active NPI.
What area of care is associated with SHANE T GONZALES (M.D.)?
SHANE T GONZALES (M.D.)'s record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SHANE T GONZALES (M.D.)?
Travel planning: use Logan, Utah as the reference point for SHANE T GONZALES (M.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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