Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PETER M. SHEPARD M.D.
NPI 1023051232
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Bend, OR

Active since June 14, 2006PECOS Enrolled
75/100
CMS Quality Rating
2450 NE MARY ROSE PL STE 120, BEND, OR 97701(541) 382-3100 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 21, 2026, Dec 16, 2020 (2 updates tracked since 2020).

About Peter M. Shepard M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER M. SHEPARD M.D. (NPI 1023051232) is an individual otolaryngology/facial plastic surgery provider in Bend, Oregon, licensed in Oregon (MD187561) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1023051232
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NamePETER M. SHEPARDCredential: M.D.
Location Address2450 NE MARY ROSE PL STE 120Bend, OR 97701-7132
Mailing Address2450 Ne Mary Rose Pl Ste 120Bend, OR 97701-7132 · (541) 382-3100
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 14, 2006
Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
NPI 1023051232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License Licensed in OR · MD187561
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
2450 NE MARY ROSE PL STE 120, Bend, OR 97701

Secondary Practice Locations 3

Location 11734 Lark StKlamath Falls, OR 97601-4346 · Phone (541) 859-2924
Location 21020 SW Indian Ave Ste 102Redmond, OR 97756-3037 · Phone (541) 382-3100
Location 32855 NW Crossing Dr Ste 101Bend, OR 97703-7049 · Phone (541) 382-3100

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Peter M. Shepard M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264585082
PECOS Enrollment IDI20180824001512
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
741 services19 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
413 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
187 services147 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
174 services138 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
124 services82 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
72 services72 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

Sky Lakes Medical Center

Acute Care Hospitals · Klamath Falls, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380050
Location2865 Daggett AvenueKlamath Falls, OR 97601 · Klamath County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
2450 NE MARY ROSE PL STE 120
BEND, OR 97701
Physician Assistant
2450 NE MARY ROSE PL STE 120
BEND, OR 97701
Hearing Instrument Specialist
2450 NE MARY ROSE PL STE 120
BEND, OR 97701
Otolaryngology
2450 NE MARY ROSE PL STE 120
BEND, OR 97701
Otolaryngology
2450 NE MARY ROSE PL STE 120
BEND, OR 97701
Physician Assistant (Medical)
2450 NE MARY ROSE PL STE 120
BEND, OR 97701
Audiologist
2450 NE MARY ROSE PL STE 120
BEND, OR 97701
Nurse Practitioner
2450 NE MARY ROSE PL STE 120
BEND, OR 97701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Shepard's NPI number?

The NPI number for Peter Shepard is 1023051232. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Peter Shepard located?

Peter Shepard practices at 2450 NE Mary Rose Pl Ste 120, Bend, OR 97701. The listed phone number is (541) 382-3100.

What is Peter Shepard's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Peter Shepard enrolled in Medicare?

Yes. Peter Shepard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Peter Shepard accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, BridgeSpan Health Company, Moda Health Plan, Inc. and Providence Health Plan and 2 other insurers list Peter Shepard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Peter Shepard affiliated with any hospitals?

According to CMS data, Peter Shepard is affiliated with St Charles Medical Center - Bend and Sky Lakes Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Shepard was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.