Active NPI
Michael F Shepard, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Orange, CA
National Provider Identifier
1992792097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- A65213
- Practice address
- 280 S Main St
Ste 200
Orange, CA 92868-3852 - Phone
- (714) 634-4567
- Fax
- (714) 634-4569
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A65213 | CA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A65213 | CA | Primary |
Addresses
Primary practice location
280 S Main St
Ste 200
Orange, CA 92868-3852
Mailing address
PO Box 905
Orange, CA 92856-6905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of California, Geffen School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
363 S Main St
Suite 220
Orange, CA 92868-3816
Phone (714) 634-4567
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.34 of 100
- Quality
- 48.62
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 74.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 18 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65213 | CA | MD | Pharmacist |
| A65213 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Specialty Institute Medical Group of Orange County | Orthopaedic Surgery | Current | Accepting new patients |
| Andrews Sports Medicine and Orthopaedic Center | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Hoag Orthopedic Institute LLC | Past | Accepting new patients | |
| Alabama Sports Medicine and Ortho Center | Orthopaedic Surgery | Past | Accepting new patients |
Locations
16300 Sand Canyon Ave
Ste 511
Irvine, CA 92618
Phone (949) 255-9890
280 S Main St
Ste 200
Orange, CA 92868
Phone (714) 937-2155
363 S Main St
Ste 220
Orange, CA 92868
Phone (714) 937-2193
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mshepard@direct.osiortho.nextgenshare.com
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Orange, CA
- NPI 1336228832
-
- Special Hospital
- Irvine, CA
- NPI 1982927877
-
- General Acute Care Hospital
- Eureka, CA
- NPI 1609858950
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
-
- Orthopaedic Surgery Physician
- Bham, AZ
- NPI 1487629101
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Birmingham, AL
- NPI 1679617526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1992792097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 905",
"city": "ORANGE",
"state": "CA",
"postal_code": "928566905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 S MAIN ST",
"address_2": "STE 200",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683852",
"telephone_number": "714-634-4567",
"fax_number": "714-634-4569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "MICHAEL",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A65213",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "A65213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.