SHANE D GAGON (M.D.) – Family Medicine Physician, NPI 1508951328
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
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Provider Addresses for SHANE D GAGON (M.D.)
Dallas Post Office – Robert E. Price Station, 8135, Forest Lane, Bouchard, Dallas, Dallas County, Texas, 75230, United States
PRICE, UT 845011437
Phone: (435) 613-2200
Fax: (435) 613-2201
Type: Mailing
377, North Fairgrounds Road, Price, Carbon County, Utah, 84501, United States
PRICE, UT 845014208
Phone: (435) 613-2200
Fax: (435) 613-2201
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 89 Open Payments records for all available years, with a total value of $1,622.
Total Amount is formed as General ($1,622) + Research ($0) + Ownership ($0) = $1,622.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($457).
Total Amount
$1,622
General + Research + Ownership
Payments
89
Total payment records
General Amount
$1,622
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $457 |
| ABBVIE INC. | $391 |
| Lilly USA, LLC | $152 |
| Xeris Pharmaceuticals, Inc. | $116 |
| Amneal Pharmaceuticals LLC | $79 |
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: 2003-11-14
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 |
|---|---|---|---|---|
| I20031114000299 | 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 | 2,211 | 973 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,189 | 598 | $0 |
| 99497 | Advance care planning, first 30 minutes | 700 | 700 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 696 | 696 | $0 |
| 83036 | Hemoglobin a1c level | 472 | 262 | $0 |
Insurance plans in this area (ZIP 84501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | UT | 83036 | Hemoglobin A1C level | 234 | 127 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ID | |
| - | UT | |
| Clinical Social Worker | UT | |
| Clinical Social Worker | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT |
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