Milton Wirtz Shepperd, DO

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

J6722 Issued in TX

Practice address

113 Broadmoor St
Meadowlakes, TX 78654-6601

Phone

(830) 693-1792

Fax

(830) 693-1685

NPI assigned

Nov 11, 2006

Last updated

May 5, 2009By the provider in NPPES

Sex

Male

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 4

Medicare fee-for-service enrollment

Enrolled in TX

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

Internal MedicineAlso: Geriatric Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Milton W. Shepperd, DO, PAGroup PAC ID 0547292583, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Comforts of Home Healthcare LLC Hospice, Cedar Park, TX, CCN 971767
• Ascension Seton Highland Lakes Hospital, Burnet, TX, CCN 451365
• Avir at Burnet Nursing home, Burnet, TX, CCN 675619

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Comforts of Home Healthcare LLC

  • Community Based Hospice Care Agency
  • Cedar Park, TX
  • NPI 1851962658

  Contracted Managing Employee

  CMS ownership
• McCulloch County Hospital District

  dba Avir at Burnet

  • Skilled Nursing Facility
  • Burnet, TX
  • NPI 1104216316

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Milton W. Shepperd, DO, PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Meadowlakes, TX
  • NPI 1629149810
  Medicare reassignment Care Compare group NPD Authorized official
• Milton W Shepperd, DO, PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Meadowlakes, TX
  • NPI 1992035166
  NPD (past) Authorized official
• McCulloch County Hospital District

  dba Avir at Burnet

  • Skilled Nursing Facility
  • Burnet, TX
  • NPI 1104216316
  NPD (past)
• Excel Eyecare, LLC

  • Optometrist
  • Elkins, WV
  • NPI 1396592382
  NPD (past)

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

• Ascension Seton

  dba Ascension Seton Highland Lakes

  • Critical Access Hospital
  • Burnet, TX
  • NPI 1003833013
  Care Compare affiliation
• Comforts of Home Healthcare LLC

  • Community Based Hospice Care Agency
  • Cedar Park, TX
  • NPI 1851962658
  Care Compare affiliation
• McCulloch County Hospital District

  dba Avir at Burnet

  • Skilled Nursing Facility
  • Burnet, TX
  • NPI 1104216316

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1801967096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1930",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786542680",
            "telephone_number": "830-693-1792",
            "fax_number": "830-693-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 BROADMOOR ST",
            "city": "MEADOWLAKES",
            "state": "TX",
            "postal_code": "786546601",
            "telephone_number": "830-693-1792",
            "fax_number": "830-693-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPERD",
        "first_name": "MILTON",
        "middle_name": "WIRTZ",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J6722",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "J6722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0068AA",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113654104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110141641",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113654105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Richard Mantheiy III, MD
• Karen Michie, L.P.C.
• Milton W Shepperd, DO, PA
• Milton W. Shepperd, DO, PA
• Susan Schultz
• James Edward Thomas, OTR/L

• Geriatric Medicine (Internal Medicine) Physician in Meadowlakes, TX
• Providers in Meadowlakes, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.