Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shane D Gagon, MD

Individual provider Family Medicine Physician · NPI 1508951328

Shane D Gagon, MD is a Family Practice in Price, Utah. Graduated from University of Utah School of Medicine in 1997, 29 years ago. Practices with Shane D Gagon MD, PC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
29
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

377 N Fairgrounds Rd
Price, UT 84501-4208
Phone: (435) 613-2200
Fax: (435) 613-2201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 361555-1205 (UT)

Record details

NPI number1508951328
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESDecember 31, 2021
Certification dateDecember 22, 2021
Mailing addressPo Box 1437, Price, UT 84501-1437

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Shane D Gagon Md, Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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