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Dr. G. Shane Jessen

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NPI Number Detailed Information

Provider Information:

Name: Dr. G. Shane Jessen
Gender: M
Provider License Number If Given: 52199299924

NPI Information:

NPI: 1548349251
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 11/3/2006
Last Update Date: 12/17/2021
Reputation Report:

Provider Business Mailing Address:

Address: 1508 E SKYLINE DR STE 800
Ogden, UT 84405
Phone Number: 8014798200
Fax Number: 8014793219

Provider Business Practice Location Address:

Address: 1508 E SKYLINE DR STE 800
Ogden, UT 84405
Phone Number: 8014798200
Fax Number: 8014793219

Provider Taxonomy:

Primary: 1223P0106X
Secondary (if any):
State: UT

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About Dr. G. Shane Jessen

Dr. G. Shane Jessen (DR. G. SHANE JESSEN ) is The Dentist Physician in Ogden, UT. The NPI Number for Dr. G. Shane Jessen is 1548349251.
The current location address for Dr. G. Shane Jessen is 1508 E SKYLINE DR STE 800 Ogden, UT 84405 and the contact number is 8014798200 and fax number is 8014793219. The mailing address for Dr. G. Shane Jessen is 1508 E SKYLINE DR STE 800 Ogden, UT 84405- 8014798200 (mailing address contact number - 8014798200).
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. G. Shane Jessen ?


Answer: The NPI Number for Dr. G. Shane Jessen is 1548349251

Where is Dr. G. Shane Jessen located?


Answer: Dr. G. Shane Jessen is located at 1508 E SKYLINE DR STE 800 Ogden, UT 84405.

What is the specialty for Dr. G. Shane Jessen ?


Answer: The Specialty of Dr. G. Shane Jessen is The Dentist Physician.

Are there any online reviews for Dr. G. Shane Jessen ?


Answer: Yes! Check It Now.

Are there any other health care providers in Ogden, UT?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. G. Shane Jessen

Number of HCPCS 14
Number of Medicare Beneficiaries 14
Number of Services 28
Total Submitted Charge Amount 9676
Total Medicare Allowed Amount 4086.28
Total Medicare Payment Amount 3177.95
Total Medicare Standardized Payment Amount 3315.04
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84 0
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.8105

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Maxillofacial Surgery
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 291
Number of Standardized 30-Day Fills 291.66666667
Aggregate Cost Paid for All Claims 1346.56
Number of Day's Supply for All Claims 2299
Number of Medicare Beneficiaries 137
Number of Claims, Including Refills, for Beneficiaries Age 65+ 278
Including Refills, for Beneficiaries Age 65+ 278.66666667
Beneficiaries Age 65+ 1279.37
Number of Day's Supply for All Claims for Beneficaries Age 65+ 2171
Number of Medicare Beneficiaries Age 65+ 126
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst #
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 289
Aggregate Cost Paid for Generic Drugs 1315.38
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 172
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 862.81
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 119
Aggregate Cost Paid for Claims Filled by 483.75
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 37
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 201.17
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 254
by Low-Income Subsidy 1145.39
Total Claims of Opioid Drugs, Including 116
Aggregate Cost Paid for Opioid Drugs 372.97
Opioid Claims 104
Opioid_Tot_Clms divided by the Tot_Clms 39.862542955
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 103
Aggregate Cost Paid for Antibiotic Drugs 477.01
Antibiotic Claims 83
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 73.248175182
Number of Beneficiaries Age Less Than 65 11
Number of Beneficiaries Age 65 to 74 62
Number of Beneficiaries Age 75 to 84 47
Number of Female Beneficiaries 79
Number of Male Beneficiaries 58
Number of Non-Hispanic White 124
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 123
Average Hierarchical Condition Category 1.0322262774

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