Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Shane Edward Moore, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982224796

Shane Edward Moore, DO practises General Surgery in Prescott Valley, Arizona. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2020, 6 years ago. Practices with Yavapai Regional Medical Center Physician Care LLC, a 119-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
AZ
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Prescott Valley, AZ

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 1301 S Crismon Rd, Mesa, AZ 85209-3767 — (480) 358-6450
  • 1001 Willow Creek Rd Ste 1200, Prescott, AZ 86301-1614 — (928) 458-2995

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 011620 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1982224796
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 22, 2020
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2020 (6 years in practice)
Group practice Yavapai Regional Medical Center Physician Care Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Colonoscopy 1–10 times
Hernia repair (minimally invasive) 1–10 times
Melanoma (skin cancer) excision 1–10 times
Upper gastrointestinal (GI) endoscopy for acid reflux 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Education $4,000 2 payments · educational material or training, not a fee
Travel and Lodging $463 3 payments · travel or lodging paid or reimbursed, such as to attend a conference
Food and Beverage $256 6 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Yavapai Regional Medical Center Physician Care LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 119 clinicians in the practice; 12 are shown here.

Other providers in Prescott Valley