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SCOTT THOMAS SHEPHERD D.O.
NPI 1053569640
Internal Medicine in Tulsa, OK

Active since September 08, 2008Opted out of Medicare · through Nov 14, 2026
4200 E SKELLY DR STE 305, TULSA, OK 74135(918) 216-0157(918) 216-0159 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scott Thomas Shepherd D.o. NPPES

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

SCOTT THOMAS SHEPHERD D.O. (NPI 1053569640) is an individual internal medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (02234) and active in the NPI registry since September 2008. He has opted out of Medicare through November 14, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053569640
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSCOTT THOMAS SHEPHERDCredential: D.O.
Location Address4200 E SKELLY DR STE 305Tulsa, OK 74135-3247
Mailing Address4200 E Skelly DrTulsa, OK 74135-3247 · (918) 216-0157 · Fax (918) 216-0159
Phone(918) 216-0157
Fax(918) 216-0159
Sole ProprietorNo
Enumeration DateSeptember 8, 2008
Last NPPES UpdateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
✔ NPI 1053569640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 02234
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 02234 (OK)
4200 E SKELLY DR STE 305, Tulsa, OK 74135
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Scott Thomas Shepherd D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 14, 2024 through November 14, 2026.

Opt-Out Effective DateNovember 14, 2024
Opt-Out In Effect ThroughNovember 14, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
81 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers12 claims13 services$15.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Scott Shepherd's NPI number?

The NPI number for Scott Shepherd is 1053569640. It was assigned to this individual provider in the NPPES registry on September 8, 2008.

Where is Scott Shepherd located?

Scott Shepherd practices at 4200 E Skelly Dr Ste 305, Tulsa, OK 74135. The listed phone number is (918) 216-0157.

What is Scott Shepherd's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Scott Shepherd enrolled in Medicare?

No. Scott Shepherd has opted out of Medicare through November 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Scott Shepherd accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Scott Shepherd 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.

When was this NPI record last updated?

The NPPES record for Scott Shepherd was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.