McLean Sheperd, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

18640 Issued in SC

Practice address

912 Old Georgetown Rd
Mt Pleasant, SC 29464-4175

Phone

(843) 216-3530

Fax

(877) 896-6449

NPI assigned

Jun 13, 2006

Last updated

Oct 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. McLean J. Stith Former name

Medicare fee-for-service enrollment

Enrolled in SC

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

Dermatology

Education

Medical University of South Carolina College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McLean Sheperd, MD, LLCGroup PAC ID 4385628908, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McLean Sheperd, MD, LLC

  • Specialist
  • Mount Pleasant, SC
  • NPI 1104975663
  Medicare reassignment Care Compare group NPD Authorized official
• McLean J. Stith MD Dermatology Dermapathology

  • Dermatopathology Physician
  • Mount Pleasant, SC
  • NPI 1093875924
  NPD

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1689617128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 OLD GEORGETOWN RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644175",
            "telephone_number": "843-216-3530",
            "fax_number": "877-896-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 OLD GEORGETOWN RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644175",
            "telephone_number": "843-216-3530",
            "fax_number": "877-896-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPERD",
        "first_name": "MCLEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "18640",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "18640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186408",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCLEAN",
            "last_name": "STITH",
            "middle_name": "J.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Paz Shilling, MPT
• Judy A Shillito, MD

• Dermatology Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.