Doctor profile · Federal record

Dr. Shane Smith, PA-C

Physician Assistant · Show Low, AZ

  • NPI 1255859567
  • 9 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2200 E Show Low Lake RD
Show Low, AZ 859017831
(928) 537-4375
Mailing address
1400 Breinholt Ln
Show Low, AZ 85901

Credentials & registration

NPPES · NUCC
NPI registered
September 2017 — 9 yrs on file
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Arizona #6819

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1255859567. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
503
Distinct HCPCS
10
Medicare allowed
$40,579
HCPCS Description Services Patients Avg allowed
99284 Emergency department visit with moderate level of medical decision making 171 171 $100
99213 Established patient office or other outpatient visit, 20-29 minutes 104 100 $74
99285 Emergency department visit with high level of medical decision making 56 55 $145
99283 Emergency department visit with low level of medical decision making 50 49 $59
81002 Urinalysis, manual test 25 25 $3
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 25 25 $7
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 21 21 $35
99214 Established patient office or other outpatient visit, 30-39 minutes 20 20 $101
99203 New patient office or other outpatient visit, 30-44 minutes 16 16 $92
96372 Injection of drug or substance under skin or into muscle 15 12 $12

In context: peer comparison

Among 9 peers in this city , average services per provider: 100. This provider delivers 5.0× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$16
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
ABBVIE INC. 1 $15.85

By nature of payment

Food and Beverage
$16

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
178
Patients
176
Total drug cost
$1,591
Drug Type Claims Patients Total cost
Prednisone Generic 38 36 $78
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 34 34 $260
Cephalexin Generic 25 25 $449
Ondansetron Hcl Generic 18 18 $153
Paxlovid (Eua) (Nirmatrelvir/Ritonavir) Brand 14 14 $149
Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) Brand 13 13 $77
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 12 12 $279
Azithromycin Generic 12 12 $49
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 12 12 $97

Frequently asked questions

Auto-generated from federal data
What is Dr. Shane Smith's medical specialty?
Dr. Shane Smith practices Physician Assistant in Show Low, AZ.
Where does Dr. Shane Smith practice?
Dr. Shane Smith practices at 2200 E Show Low Lake RD, Show Low, AZ 859017831. Office phone: 9285374375.
What is Dr. Shane Smith's NPI?
Dr. Shane Smith's National Provider Identifier (NPI) is 1255859567, issued by NPPES.
What procedures does Dr. Shane Smith commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with moderate level of medical decision making (HCPCS 99284); Established patient office or other outpatient visit (HCPCS 99213); Emergency department visit with high level of medical decision making (HCPCS 99285). Source: CMS Medicare Physician & Other Practitioners file.