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

SHANTA SHEPHERD M.D,
NPI 1174986756
Urology in Glastonbury, CT

Active since April 01, 2016PECOS Enrolled
730 HEBRON AVE STE 10, GLASTONBURY, CT 06033(860) 266-5550(860) 266-5511 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 4, 2026, Aug 17, 2026, May 12, 2022 and 3 more (6 updates tracked since 2016).

About Shanta Shepherd M.d, NPPES

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

SHANTA SHEPHERD M.D, (NPI 1174986756) is an individual urology provider in Glastonbury, Connecticut, licensed in Connecticut (68747) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Medical College Of Wisconsin (2016).

NPPES Registry Identity

NPI1174986756
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameSHANTA SHEPHERDCredential: M.D,
Location Address730 HEBRON AVE STE 10Glastonbury, CT 06033-5016
Mailing Address730 Hebron Ave Ste 10Glastonbury, CT 06033-5016 · (860) 266-5550 · Fax (860) 266-5511
Fax(860) 266-5511
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2016
Enumeration DateApril 1, 2016
Last NPPES UpdateSeptember 4, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
NPI 1174986756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in CT · 68747 Licensed in PA · MD496871
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
730 HEBRON AVE STE 10, Glastonbury, CT 06033

Secondary Practice Locations 2

Location 1175 Martin Ave Ste 350Ephrata, PA 17522-1763 · Phone (717) 738-5632 · Fax (717) 798-3248
Location 2550 Isabel Dr Ste 2Lebanon, PA 17042-7224 · Phone (717) 675-1953 · Fax (717) 675-1958

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

Shanta Shepherd 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 ID1254626518
PECOS Enrollment IDI20210809003532
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.

Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
241 services151 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
236 services149 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.
206 services153 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.
51 services51 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
38 services34 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
37 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06033 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers19 claims3,300 services$5.97 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
3 suppliers16 claims188 services$1.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Multi-Specialty)
730 HEBRON AVE STE 10
GLASTONBURY, CT 06033
Urology
730 HEBRON AVE STE 10
GLASTONBURY, CT 06033

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 Shanta Shepherd's NPI number?

The NPI number for Shanta Shepherd is 1174986756. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Shanta Shepherd located?

Shanta Shepherd practices at 730 Hebron Ave Ste 10, Glastonbury, CT 06033. The listed phone number is (860) 266-5550.

What is Shanta Shepherd's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Shanta Shepherd enrolled in Medicare?

Yes. Shanta 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.

When was this NPI record last updated?

The NPPES record for Shanta Shepherd was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.