PETER M. SHEPARD M.D.
NPI 1023051232
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Los Alamos, NM

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3917 WEST RD, STE 200, LOS ALAMOS, NM 87544(505) 661-4147 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 Los Alamos, New Mexico, licensed in New Mexico (MD2009-0111) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1023051232
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NamePETER M. SHEPARDCredential: M.D.
Location Address3917 WEST RD, STE 200Los Alamos, NM 87544-5301
Mailing Address1620 N Main StSpanish Fork, UT 84660-1008 · (801) 822-2234
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 14, 2006
Last NPPES UpdateDecember 16, 2020
NPPES CertifiedDecember 16, 2020
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 NM · MD2009-0111
Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

3917 WEST RD, Los Alamos, NM 87544

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 20

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

Allergy & Immunology
3917 WEST RD, SUITE 150
LOS ALAMOS, NM 87544
Internal Medicine
3917 WEST RD, SUITE 150
LOS ALAMOS, NM 87544
Dermatology
3917 WEST RD, SUITE 150
LOS ALAMOS, NM 87544
Surgery
3917 WEST RD, SUITE 150
LOS ALAMOS, NM 87544
Internal Medicine
3917 WEST RD, SUITE 138
LOS ALAMOS, NM 87544
Pediatrics
3917 WEST RD, STE 128
LOS ALAMOS, NM 87544
Pediatrics
3917 WEST RD, SUITE 128
LOS ALAMOS, NM 87544
Pediatrics
3917 WEST RD, #128
LOS ALAMOS, NM 87544

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 3917 West Rd Ste 200, Los Alamos, NM 87544. The listed phone number is (505) 661-4147.

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 December 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.