CAITLIN GOODMAN SHEPPARD PA
NPI 1255783445
Physician Assistant in Winston Salem, NC

Q: What is Caitlin Sheppard's NPI number?

The NPI number for Caitlin Sheppard is 1255783445. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Q: What is Caitlin Sheppard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Caitlin Sheppard was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 12, 2016PECOS EnrolledAccepts Medicare Assignment

2810 MAPLEWOOD AVE, WINSTON SALEM, NC 27103(336) 860-6194(336) 860-6236 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2024, Mar 9, 2023, Feb 28, 2023 and 23 more (26 updates tracked since 2016).

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About Caitlin Goodman Sheppard Pa NPPES

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

CAITLIN GOODMAN SHEPPARD PA (NPI 1255783445) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (0010-06583) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1255783445

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCAITLIN GOODMAN SHEPPARDCredential: PA

Location Address2810 MAPLEWOOD AVEWinston Salem, NC 27103-4138

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(336) 860-6194

Fax(336) 860-6236

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 12, 2016

Last NPPES UpdateApril 2, 202426 updates tracked since enumeration

NPPES CertifiedApril 2, 2024

✔ NPI 1255783445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-06583

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.

2810 MAPLEWOOD AVE, Winston Salem, NC 27103

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Secondary Practice Locations 5

Location 110226 Couloak Dr, Ste 100Charlotte, NC 28216-7675 · Phone (704) 801-7380

Location 214214 Ballantyne Lake Rd, Ste 100Charlotte, NC 28277-3372 · Phone (704) 667-2650

Location 3101 E W T Harris Blvd, Ste 5401Charlotte, NC 28262-3485 · Phone (704) 863-9700

Location 4150 Professional Park Dr, Ste 400Mooresville, NC 28117-5603 · Phone (704) 801-7360

Location 5101 E W T Harris Blvd, Ste 5002Charlotte, NC 28262-3485 · Phone (704) 801-7310

Accepted Insurance

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

Caitlin Goodman Sheppard 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 ID3072800200

PECOS Enrollment IDI20161003000105

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 3

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 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.

29 services21 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.

16 services16 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

78%131 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

54%171 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

38%190 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

52%85 patients3/55-star benchmark: 98%

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.

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Other Providers at the Same Location NPPES 10

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

ASHLEY CARLYN BROWN

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