MARK M SHEPHERD PA
NPI 1154620227
Physician Assistant in Asheville, NC

Active since March 15, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1 HOSPITAL DR, SUITE 4200, ASHEVILLE, NC 28801(828) 213-1111 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2016, Dec 18, 2015 (2 updates tracked since 2015).

About Mark M Shepherd Pa NPPES

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

MARK M SHEPHERD PA (NPI 1154620227) is an individual physician assistant in Asheville, North Carolina, licensed in North Carolina (0010-03466) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1154620227
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK M SHEPHERDCredential: PA
Location Address1 HOSPITAL DR, SUITE 4200Asheville, NC 28801-4550
Mailing AddressPo Box 602373Charlotte, NC 28260-2373 · (828) 213-1994
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 15, 2011
Last NPPES UpdateSeptember 22, 20162 updates tracked since enumeration
NPI 1154620227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-03466
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 0010-03466 (NC)
1 HOSPITAL DR, Asheville, NC 28801

Other Identifiers 3

Medicare PINNC5722DNC
Other176H9NC · Bcbs Nc
Medicaid1154620227NC

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

Mark M Shepherd Pa 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 ID2961689815
PECOS Enrollment IDI20120423000773
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
129 services86 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
31 services31 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
17 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28801 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Surgery
1 HOSPITAL DR, SUITE 4200
ASHEVILLE, NC 28801
Psychologist
1 HOSPITAL DR, SUITE 3400
ASHEVILLE, NC 28801
Dietitian, Registered
1 HOSPITAL DR, SUITE 3400
ASHEVILLE, NC 28801
Surgery
1 HOSPITAL DR, SUITE 4200
ASHEVILLE, NC 28801
Preventive Medicine (Occupational Medicine)
1 HOSPITAL DR, 2ND FLOOR
ASHEVILLE, NC 28801
Dietitian, Registered
1 HOSPITAL DR
ASHEVILLE, NC 28801
Surgery
1 HOSPITAL DR
ASHEVILLE, NC 28801
Surgery
1 HOSPITAL DR, SUITE 4200
ASHEVILLE, NC 28801

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 Mark Shepherd's NPI number?

The NPI number for Mark Shepherd is 1154620227. It was assigned to this individual provider in the NPPES registry on March 15, 2011.

Where is Mark Shepherd located?

Mark Shepherd practices at 1 Hospital Dr Suite 4200, Asheville, NC 28801. The listed phone number is (828) 213-1111.

What is Mark Shepherd's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mark Shepherd enrolled in Medicare?

Yes. Mark Shepherd 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 Mark Shepherd accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Mark 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.

Is Mark Shepherd affiliated with any hospitals?

According to CMS data, Mark Shepherd is affiliated with Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for Mark Shepherd was last updated on September 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.