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KRISTIN SHEPPARD
NPI 1316574965
Surgery in New York, NY

Active since March 24, 2020PECOS Enrolled
1060 5TH AVE, NEW YORK, NY 10128(212) 988-8269 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2025, Sep 5, 2025, Mar 24, 2020 (3 updates tracked since 2020).

About Kristin Sheppard NPPES

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

KRISTIN SHEPPARD (NPI 1316574965) is an individual surgery provider in New York, New York, licensed in New York (337498-01) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1316574965
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKRISTIN SHEPPARD
Location Address1060 5TH AVENew York, NY 10128-0104
Mailing Address1060 5th AveNew York, NY 10128-0104
Phone(212) 988-8269
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1316574965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NY · 337498-01✔ Licensed in NJ · 25MB12749500
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1060 5TH AVE, New York, NY 10128
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Sheppard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870098056
PECOS Enrollment IDI20250926003408, I20260203003001
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kristin Sheppard reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeast Surgical Specialists Of Nj PC
6.1 mi
Surgery
140 SYLVAN AVE STE 213
Englewood Cliffs, NJ 07632
  • Reassigned Medicare billing, New Jersey enrollment
  • 8 clinicians in this Medicare group
NPI 1780555060 (718) 626-0707
Surgical Specialists Of Greater Ny LLP
24 mi
Surgery
40 BERRY HILL RD
Oyster Bay, NY 11771
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group
NPI 1023315512 (718) 626-0707
Surgical Specialists Of New Jersey New York PC
24 mi
Surgery
40 BERRY HILL ROAD
Oyster Bay Cove, NY 11771
  • Reassigned Medicare billing, New Jersey enrollment
  • 8 clinicians in this Medicare group
NPI 1245922574 (917) 250-4958

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10128 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 7

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

DR. HAILEY JOAN MCINERNEY MD
Obstetrics & Gynecology
1060 5TH AVE
NEW YORK, NY 10128
New York County (212) 452-1370
VIRGINIA D. WADE M.D.
Anesthesiology
1060 5TH AVE, SUITE 1C
NEW YORK, NY 10128
New York County (212) 348-4994
DR. PATTY TSZ-YAN NG M.D.
Obstetrics & Gynecology
1060 5TH AVE
NEW YORK, NY 10128
New York County (516) 672-2943
TRISTATE VASCULAR CARE PC
Surgery (Vascular Surgery)
1060 5TH AVE
NEW YORK, NY 10128
New York County (347) 537-8507
DR. ALAN S BARASCH MD
Psychiatry & Neurology (Psychiatry)
1060 5TH AVE, 1 D
NEW YORK, NY 10128
New York County (212) 410-3681
GEORGE PH YOUNG MD FACS PC
Urology
1060 5TH AVE, SUITE 1E/F
NEW YORK, NY 10128
New York County (212) 876-9811
DR. RENEE WELNER M.D.
Psychiatry & Neurology (Psychiatry)
1060 5TH AVE
NEW YORK, NY 10128
New York County (212) 410-3740

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 Kristin Sheppard's NPI number?

The NPI number for Kristin Sheppard is 1316574965. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Kristin Sheppard located?

Kristin Sheppard practices at 1060 5th Ave, New York, NY 10128. The listed phone number is (212) 988-8269.

What is Kristin Sheppard's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kristin Sheppard enrolled in Medicare?

Yes. Kristin Sheppard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristin Sheppard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Sheppard reassigns Medicare benefits to 3 organizations: Northeast Surgical Specialists Of Nj PC (Englewood Cliffs, NJ), Surgical Specialists Of Greater Ny LLP (Oyster Bay, NY) and Surgical Specialists Of New Jersey New York PC (Oyster Bay Cove, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristin Sheppard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kristin Sheppard affiliated with any hospitals?

According to CMS data, Kristin Sheppard is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Kristin Sheppard was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.