DR. BRUCE M SHEPLAN M.D.
NPI 1548527815
Internal Medicine in San Antonio, TX

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment
12446 WEST AVE STE 200, SAN ANTONIO, TX 78216(210) 729-2262(210) 585-2205 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bruce M Sheplan M.d. NPPES

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

DR. BRUCE M SHEPLAN M.D. (NPI 1548527815) is an individual internal medicine provider in San Antonio, Texas, licensed in Texas (Q3963) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Ponce School Of Medicine (2012).

NPPES Registry Identity

NPI1548527815
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BRUCE M SHEPLANCredential: M.D.
Location Address12446 WEST AVE STE 200San Antonio, TX 78216-2530
Mailing Address12446 West Ave Ste 200San Antonio, TX 78216-2530 · (210) 729-2262 · Fax (210) 585-2205
Fax(210) 585-2205
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2012
Enumeration DateApril 11, 2012
Last NPPES UpdateMarch 27, 2019
NPI 1548527815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TX · Q3963 Licensed in TX · BP10042789
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.
12446 WEST AVE STE 200, San Antonio, TX 78216

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. Bruce M Sheplan 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 ID4587975768
PECOS Enrollment IDI20150615000573
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 4

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
535 services195 patients
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.
381 services157 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
197 services179 patients
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.
129 services122 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78216 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%172 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers24 claims24 services$18.10 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$91.67 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.

Internal Medicine (Pulmonary Disease)
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Hospitalist
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Internal Medicine
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Nurse Practitioner (Acute Care)
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Nurse Practitioner (Family)
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Internal Medicine
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Internal Medicine (Pulmonary Disease)
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216
Pediatrics (Neonatal-Perinatal Medicine)
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216

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 Bruce Sheplan's NPI number?

The NPI number for Bruce Sheplan is 1548527815. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Bruce Sheplan located?

Bruce Sheplan practices at 12446 West Ave Ste 200, San Antonio, TX 78216. The listed phone number is (210) 729-2262.

What is Bruce Sheplan's specialty?

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

Is Bruce Sheplan enrolled in Medicare?

Yes. Bruce Sheplan 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 Bruce Sheplan accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company list Bruce Sheplan 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 Bruce Sheplan affiliated with any hospitals?

According to CMS data, Bruce Sheplan is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Bruce Sheplan was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.