Shane Benally, OD
NPI 1588387294ActiveIndividual· Optometrist· Santo Domingo Pueblo, NM
Optometrist (OD) in Santo Domingo Pueblo, New Mexico, trained at Southern College of Optometry (class of 2022). In 2024 Medicare paid $13,812 for 97 patients, and Part D covered 150 of their prescriptions, 43% of them generic.
Overview
| NPI | 1588387294 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Sep 19, 2022 |
| Last updated in NPPES | Jul 22, 2025 |
| Certified by provider | Jul 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | ODP-100585 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (NM); Practitioner - Optometry (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 97 |
|---|---|
| Services billed | 285 across 17 procedure codes |
| Paid by Medicare | $13,812 |
Part D prescriptions in 2024
| Prescriptions (claims) | 150 · 189 30-day fills |
|---|---|
| Patients | 37 |
| Total drug cost | $4,128 |
| Generic share | 43% of claims |
Education and affiliations
| Medical school | Southern College of Optometry |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Optometry |
Medical group
- Kewa Pueblo Health CorporationSanto Domingo Pueblo, NM · 29 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records