Mark Edward Shepherd Jr., M.D., M.P.H.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

7397 Issued in AK

Practice address

5955 Zeamer Ave
673D MDG
Jber, AK 99506-3702

Phone

(907) 580-5556

NPI assigned

Jan 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Denali Emergency Medicine Assoc PC 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

97.98

Improvement activities

40

Cost

82.67

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Denali Emergency Medicine Assoc PC

  • Emergency Medicine Physician
  • Anchorage, AK
  • NPI 1669406831

  AK, Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Alaska Emergency Medicine Associates

  • Emergency Medicine Physician
  • Anchorage, AK
  • NPI 1568450476

  AK, Emergency Medicine

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Galen Hospital Alaska, Inc.

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1952348047

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1154300747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "address_2": "673D MDG",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "address_2": "673D MDG",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "7397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa R Sellers
• Raquel Maria Serrano
• Vijay Setty, DO
• Vinay Setty, DO
• Jonathan Shecter, DO
• Darren Layne Shirley, M.D.
• Stephanie Shivers, CNM/ARNP
• Sarah Siacunco
• Joseph Simmerman, M.D.
• Amelia Rose Simmons, MD

• All providers in Jber, AK
• Emergency Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.