Doctor profile · Federal record
Dr. SHANE EWALT, PHYSICIAN ASSISTANT
Physician Assistant · Surgical Physician Assistant · CHANDLER, AZ
- NPI 1679091920
- Accepts Medicare
- 9 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
525 S CHANDLER VILLAGE DR
CHANDLER, AZ 852265069
(480) 750-0303
fax (480) 786-5202 - Mailing address
-
PO BOX 80217
PHOENIX, AZ 850600217
Credentials & registration
- NPI registered
- September 2017 — 9 yrs on file
- Profile last updated
- July 29, 2022
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Arizona #6865
- Medicaid
- AZ #326698
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1679091920. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
796
Distinct HCPCS
10
Medicare allowed
$37,091
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 150 | 127 | $74 | |
J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 140 | 74 | $7 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 83 | 83 | $92 | |
73030 |
X-ray of shoulder, minimum of 2 views | 60 | 47 | $29 | |
20550 |
Injection into tendon or ligament | 56 | 45 | $43 | |
73110 |
X-ray of wrist, minimum of 3 views | 55 | 42 | $34 | |
20610 |
Aspiration and/or injection of fluid from large joint | 54 | 50 | $59 | |
J1030 |
Injection, methylprednisolone acetate, 40 mg | 50 | 41 | $7 | |
73564 |
X-ray of knee, 4 or more views | 37 | 31 | $38 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 36 | 34 | $101 |
In context: peer comparison
Among 36 peers in this city , average services per provider: 238. This provider delivers 3.3× the peer median.Open Payments
Industry payments received
All-time total
$32
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ImpactOrtho, Inc. | 1 | $32.33 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
207
Patients
177
Total drug cost
$1,148
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 75 | 70 | $265 |
| Oxycodone Hcl | Generic | 42 | 35 | $307 |
| Meloxicam | Generic | 31 | 15 | $86 |
| Ondansetron Odt (Ondansetron) | Brand | 24 | 23 | $310 |
| Gabapentin | Generic | 20 | 19 | $60 |
| Methylprednisolone | Generic | 15 | 15 | $120 |