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JAMES A. SHEPARD DO
NPI 1265844112
Internal Medicine in Newark, DE

Active since May 27, 2014PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN-STANTON ROAD, SUITE 5A43, NEWARK, DE 19718(302) 623-0188(302) 733-5640 Get Directions Write a Review

NPPES record last updated: July 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James A. Shepard Do NPPES

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

JAMES A. SHEPARD DO (NPI 1265844112) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C2-0012021) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Philadelphia College Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1265844112
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES A. SHEPARDCredential: DO
Location Address4755 OGLETOWN-STANTON ROAD, SUITE 5A43Newark, DE 19718-2200
Mailing Address200 Hygeia Drive, Suite 2300 Cchs Physician ContractingNewark, DE 19713-2049
Phone(302) 623-0188
Fax(302) 733-5640
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2014
Enumeration DateMay 27, 2014
Last NPPES UpdateJuly 7, 2017
✔ NPI 1265844112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in DE · C2-0012021✔ Licensed in FL · UO4017
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4755 OGLETOWN-STANTON ROAD, Newark, DE 19718
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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

James A. Shepard Do 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 ID2264652338
PECOS Enrollment IDI20170720000381, I20211215002706
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
212 services207 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.
44 services44 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

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.

DR. TRACEY A. HENDERSON MD
Pediatrics
4755 OGLETOWN-STANTON ROAD, MAP 1, SUITE 116
NEWARK, DE 19718
New Castle County (302) 733-4200
MRS. NATALIE ANN L'HEUREUX-LEA CRNA
Nurse Anesthetist, Certified Registered
4755 OGLETOWN-STANTON ROAD
NEWARK, DE 19718
New Castle County (302) 733-1000
MRS. JULIANA M. RAHMER FNP
Nurse Practitioner (Family)
4755 OGLETOWN-STANTON ROAD, 6TH FLOOR
NEWARK, DE 19718
New Castle County (302) 733-6050
MS. STACY LYNN SHOUP MS, CGC
Genetic Counselor, MS
4755 OGLETOWN-STANTON ROAD, RM 1988
NEWARK, DE 19718
New Castle County (302) 733-3072
PAUL KAMINSKI MD
Obstetrics & Gynecology
4755 OGLETOWN-STANTON ROAD
NEWARK, DE 19718
New Castle County (302) 733-6510
DOROTHY A DIXON MD
Emergency Medicine
4755 OGLETOWN-STANTON ROAD
NEWARK, DE 19718
New Castle County (302) 733-1000
CHRISTIANA CARE
Long Term Care Hospital
4755 OGLETOWN-STANTON ROAD, SUITE 2A00
NEWARK, DE 19718
New Castle County (302) 322-2401
MRS. DANIELLE MCKNIGHT CRNA
Nurse Anesthetist, Certified Registered
4755 OGLETOWN-STANTON ROAD
NEWARK, DE 19718
New Castle County (302) 733-1000

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 James Shepard's NPI number?

The NPI number for James Shepard is 1265844112. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Where is James Shepard located?

James Shepard practices at 4755 Ogletown-Stanton Road Suite 5a43, Newark, DE 19718. The listed phone number is (302) 623-0188.

What is James Shepard's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Shepard enrolled in Medicare?

Yes. James 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 James Shepard accept?

Health plans from AmeriHealth Caritas Next list James 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 James Shepard affiliated with any hospitals?

According to CMS data, James Shepard is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for James Shepard was last updated on July 7, 2017. 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.