Individual provider Active NPI

Leigh Ann Shepard, PA

  • Surgical Physician Assistant
  • Saratoga Springs, NY
National Provider Identifier
1972855971
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
015998 Issued in NY
Practice address
5 Care LN
Saratoga Springs, NY 12866-8623
Phone
(518) 489-2663
Fax
(518) 689-3881
NPI assigned
Oct 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 015998 NY
Surgical Physician Assistant 363AS0400X PA9110522 FL
Surgical Physician Assistant 363AS0400X 015998 NY Primary

Addresses

Primary practice location

5 Care LN
Saratoga Springs, NY 12866-8623

Mailing address

121 Everett Rd
Albany, NY 12205-1474
Phone (518) 489-2663

Other practice location 1

1717 N E St Ste 208
Pensacola, FL 32501-6336
Phone (850) 469-7771

Other identifiers 1

IdentifierTypeStateIssuer
03537340MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130123000427 NY Practitioner - Physician Assistant 7315190451 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedicsny, LLPGroup PAC ID 6901898170, 115 clinicians

Practice addresses (Care Compare)

121 Everett Rd
Albany, NY 12205-1474
Phone (518) 489-2663

Hospital & facility affiliations

  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Promoting interoperability
75
Improvement activities
40
Cost
88.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9110522FLMDSurgical Physician Assistant
015998NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Aug 23, 2015 Accepting new patients
Orthopedicsny, LLP CurrentSince Oct 1, 2019 Accepting new patients
Saratoga Hospital CurrentSince Aug 23, 2015 Accepting new patients
Glens Falls Hospital Inc CurrentSince Mar 1, 2025 Accepting new patients
Orthopedicsny, LLP CurrentSince Oct 1, 2019 Accepting new patients

Locations

121 Everett Rd
Ste 100
Albany, NY 12205
Phone 5184539088 ext. 3239

16 Maxwell Dr
Clifton Park, NY 12065
Phone (518) 557-1800

121 Everett Rd
Colonie, NY 12205

79 North St
Granville, NY 12832
Phone (518) 642-0612

1768 Route 9
Halfmoon, NY 12065

2388 Route 9
Mechanicville, NY 12118
Phone (518) 587-0845

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

5 Care Ln
Saratoga Springs, NY 12866
Phone (518) 587-0845

5 Care Ln
Ste 101
Saratoga Springs, NY 12866

Interoperability endpoints

  • Direct secure messaging: lshepard@orthony.emadirect.md
  • Direct secure messaging: lshepard@amms.medentdirect.com

Organizations & group practices 7

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1972855971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051474",
            "telephone_number": "518-489-2663",
            "fax_number": "518-689-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CARE LN",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668623",
            "telephone_number": "518-489-2663",
            "fax_number": "518-689-3881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 N E St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325016336",
            "country_code": "US",
            "telephone_number": "850-469-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015998",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9110522",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "015998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03537340",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.