Doctor profile · Federal record

Dr. Shane Benally, OD

Optometrist (CMS: Optometry) · Santo Domingo Pueblo, NM

  • NPI 1588387294
  • Accepts Medicare
  • 4 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
85 W Highway 22
Santo Domingo Pueblo, NM 870521283
(505) 465-1169
Mailing address
5300 Las Soleras Dr Apt 6003
Santa Fe, NM 875072002

Credentials & registration

NPPES · NUCC
NPI registered
September 2022 — 4 yrs on file
Profile last updated
July 22, 2025
Year of graduation
2022 — 4 yrs since
Specialty taxonomy
152W00000X — NUCC code
State license (1)
Idaho #ODP-100585

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1588387294. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
35
Distinct HCPCS
2
Medicare allowed
$2,536
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 22 18 $92
92250 Photography of the retina 13 13 $39

In context: peer comparison

Among 1 peers in this city , average services per provider: 17. This provider delivers 2.1× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Shane Benally's medical specialty?
Dr. Shane Benally practices Optometrist in Santo Domingo Pueblo, NM.
Where does Dr. Shane Benally practice?
Dr. Shane Benally practices at 85 W Highway 22, Santo Domingo Pueblo, NM 870521283. Office phone: 5054651169.
What is Dr. Shane Benally's NPI?
Dr. Shane Benally's National Provider Identifier (NPI) is 1588387294, issued by NPPES.
Does Dr. Shane Benally accept Medicare assignment?
Yes. Dr. Shane Benally accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shane Benally commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Photography of the retina (HCPCS 92250). Source: CMS Medicare Physician & Other Practitioners file.