David W Shepherd, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

23922 Issued in OK

Practice address

330 S 5TH St Ste 401
Enid, OK 73701-5863

Phone

(580) 249-3898

Fax

(580) 234-9625

NPI assigned

Feb 7, 2007

Last updated

Aug 19, 2019By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

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

General Surgery

Education

University of Oklahoma College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Marys Physician Associates LLCGroup PAC ID 3678672276, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary's Regional Medical Center Hospital, Enid, OK, CCN 370026

Merit-based Incentive Payment System (MIPS)

Final score

99.52 of 100Reported as apm

Quality

87.98

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

82.74 of 100Reported as group

Quality

68.62

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.shepherd@ipmcentral.cernerdirect.com

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

• St. Mary's Physician Associates, LLC

  • Family Medicine Physician
  • Enid, OK
  • NPI 1740302751

  Surgery

  Medicare reassignment Care Compare group NPD
• St. Mary's Physician Associates, LLC

  • Durable Medical Equipment & Medical Supplies
  • Enid, OK
  • NPI 1568270882
  NPD
• Uhs of Oklahoma, LLC

  dba St. Mary's Regional Medical Center

  • General Acute Care Hospital
  • Enid, OK
  • NPI 1417947466
  NPD (past)

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

• Uhs of Oklahoma, LLC

  dba St. Mary's Regional Medical Center

  • General Acute Care Hospital
  • Enid, OK
  • NPI 1417947466
  Care Compare affiliation

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1235279746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "580-249-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S 5TH ST STE 401",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015863",
            "telephone_number": "580-249-3898",
            "fax_number": "580-234-9625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 E State Rd",
            "address_purpose": "LOCATION",
            "city": "Fairview",
            "state": "OK",
            "postal_code": "737371458",
            "country_code": "US",
            "telephone_number": "580-227-2585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 N 4th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Ponca City",
            "state": "OK",
            "postal_code": "746012749",
            "country_code": "US",
            "telephone_number": "580-749-4729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "23922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01324122",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200455120A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher A Shearer, DO
• Garrett Shelton, MD
• Jeffrey Shelton
• Lorrene Louise Shelton, LPC
• David James Shepherd Jr., MD
• Molly Tyner Shepherd, RD/LD
• Karber Curren Sheppard
• William Brian Shewey, O.D.
• Charles Robert Shields, MD
• Scott Lamar Shields, DPM

• Surgery Physician in Enid, OK
• Providers in Enid, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.