DR. JOHN DAVID SHEPHERD MD
NPI 1225031271
Internal Medicine - Nephrology in Pinehurst, NC

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
91.94/100
CMS Quality Rating
293 OLMSTED BLVD, STE 7, PINEHURST, NC 28374(910) 295-3344(910) 295-3165 Get Directions Write a Review

NPPES record last updated: December 1, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John David Shepherd Md NPPES

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

DR. JOHN DAVID SHEPHERD MD (NPI 1225031271) is an individual nephrology provider in Pinehurst, North Carolina, licensed in North Carolina (200200451) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Creighton University School Of Medicine (1996).

NPPES Registry Identity

NPI1225031271
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JOHN DAVID SHEPHERDCredential: MD
Location Address293 OLMSTED BLVD, STE 7Pinehurst, NC 28374-9023
Mailing Address293 Olmsted Blvd Ste 7Pinehurst, NC 28374-9191 · (910) 295-3344 · Fax (910) 295-3165
Fax(910) 295-3165
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1996
Enumeration DateMay 23, 2005
Last NPPES UpdateDecember 1, 2009
NPI 1225031271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NC · 200200451
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
293 OLMSTED BLVD, Pinehurst, NC 28374

Other Identifiers 3

Medicare UPINH60960
Medicaid89131C9NC
Medicare PIN2000800NC

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

Dr. John David Shepherd Md 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 ID3173611175
PECOS Enrollment IDI20100810001078
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 9

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.
299 services107 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.
261 services195 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
184 services97 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
122 services60 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
43 services15 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.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Firsthealth Montgomery Memorial Hosp

Critical Access Hospitals · Troy, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341303
Location520 Allen StreetTroy, NC 27371 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

91.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.24
Promoting Interoperability100
Improvement Activities40
Cost80.56

Reported Quality Measures

Controlling High Blood Pressure
67%33 patients3/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%840 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
95%426 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
16%558 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 243 patients
Patients screened: 100% · 243 patients
92%26 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%559 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Adult Health)
293 OLMSTED BLVD, SUITE 4
PINEHURST, NC 28374
Internal Medicine
293 OLMSTED BLVD, SUITE 1
PINEHURST, NC 28374
Internal Medicine
293 OLMSTED BLVD, SUITE #1
PINEHURST, NC 28374
Clinic/Center (Primary Care)
293 OLMSTED BLVD, SUITE # 1
PINEHURST, NC 28374
Internal Medicine (Nephrology)
293 OLMSTED BLVD, STE 7
PINEHURST, NC 28374
Internal Medicine
293 OLMSTED BLVD, SUITE 1
PINEHURST, NC 28374

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 John Shepherd's NPI number?

The NPI number for John Shepherd is 1225031271. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is John Shepherd located?

John Shepherd practices at 293 Olmsted Blvd Ste 7, Pinehurst, NC 28374. The listed phone number is (910) 295-3344.

What is John Shepherd's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is John Shepherd enrolled in Medicare?

Yes. John 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 John 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 John 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 John Shepherd affiliated with any hospitals?

According to CMS data, John Shepherd is affiliated with Firsthealth Moore Regional Hospital and Firsthealth Montgomery Memorial Hosp.

When was this NPI record last updated?

The NPPES record for John Shepherd was last updated on December 1, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.