MARK J SHEPARD M.D.
NPI 1265420012
Orthopaedic Surgery in North Canton, OH

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
68.54/100
CMS Quality Rating
7442 FRANK AVE NW, NORTH CANTON, OH 44720(330) 305-0838(330) 305-2514 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 30, 2020, Aug 2, 2018 (2 updates tracked since 2018).

About Mark J Shepard M.d. NPPES

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

MARK J SHEPARD M.D. (NPI 1265420012) is an individual orthopaedic surgery provider in North Canton, Ohio, licensed in Ohio (35068710) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Aultman Hospital, and is a graduate of Washington University School Of Medicine (1989).

NPPES Registry Identity

NPI1265420012
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMARK J SHEPARDCredential: M.D.
Location Address7442 FRANK AVE NWNorth Canton, OH 44720-7022
Mailing Address7442 Frank Ave NwNorth Canton, OH 44720-7022 · (330) 455-5367 · Fax (330) 455-6114
Fax(330) 305-2514
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1989
Enumeration DateOctober 6, 2005
Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
NPI 1265420012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OH · 35068710
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 34068710 (OH)
7442 FRANK AVE NW, North Canton, OH 44720

Other Identifiers 2

Medicaid0156941OH
OtherH234290OH · Medicare Id-type Unspecified

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 J Shepard 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 ID8426190901
PECOS Enrollment IDI20100121000439
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 15

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
2,154 services275 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
550 services294 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.
250 services172 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.
200 services156 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
122 services103 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
96 services82 patients

Hospital Affiliations CMS Care Compare 2

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

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Alliance Community Hospital

Acute Care Hospitals · Alliance, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360131
Location200 East State StreetAlliance, OH 44601 · Stark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44720 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

68.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.86
Promoting Interoperability62
Improvement Activities40
Cost67.96

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.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$88.25 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 20

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

Physical Therapist
7442 FRANK AVE NW
NORTH CANTON, OH 44720
Orthopaedic Surgery
7442 FRANK AVE NW
NORTH CANTON, OH 44720
Orthopaedic Surgery
7442 FRANK AVE NW
NORTH CANTON, OH 44720
Physician Assistant
7442 FRANK AVE NW
NORTH CANTON, OH 44720
Orthopaedic Surgery
7442 FRANK AVE NW
NORTH CANTON, OH 44720
Orthopaedic Surgery
7442 FRANK AVE NW
NORTH CANTON, OH 44720
Physical Therapist
7442 FRANK AVE NW
NORTH CANTON, OH 44720
Orthopaedic Surgery
7442 FRANK AVE NW
NORTH CANTON, OH 44720

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 Shepard's NPI number?

The NPI number for Mark Shepard is 1265420012. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Mark Shepard located?

Mark Shepard practices at 7442 Frank Ave NW, North Canton, OH 44720. The listed phone number is (330) 305-0838.

What is Mark Shepard's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Mark Shepard enrolled in Medicare?

Yes. Mark Shepard 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 Shepard accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Oscar Insurance Corporation of Ohio and SummaCare list Mark Shepard 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 Shepard affiliated with any hospitals?

According to CMS data, Mark Shepard is affiliated with Aultman Hospital and Alliance Community Hospital.

When was this NPI record last updated?

The NPPES record for Mark Shepard was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.