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DR. ROBERT SCOTT SHEPERD DDS
NPI 1568456028
Dentist - Oral and Maxillofacial Surgery in Petoskey, MI

Active since September 09, 2005PECOS Enrolled
2325 SUMMIT PARK DR, SUITE D, PETOSKEY, MI 49770(231) 487-1020(231) 487-9003 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Robert Scott Sheperd Dds NPPES

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

DR. ROBERT SCOTT SHEPERD DDS (NPI 1568456028) is an individual oral and maxillofacial surgery provider in Petoskey, Michigan, licensed in Michigan (2901017131) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568456028
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ROBERT SCOTT SHEPERDCredential: DDS
Location Address2325 SUMMIT PARK DR, SUITE DPetoskey, MI 49770-8774
Mailing Address2325 Summit Park Dr, Suite DPetoskey, MI 49770-8774 · (231) 487-1020 · Fax (231) 487-9003
Phone(231) 487-1020
Fax(231) 487-9003
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateMarch 10, 2008
✔ NPI 1568456028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in MI · 2901017131✔ Licensed in NJ · DI019967
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2325 SUMMIT PARK DR, Petoskey, MI 49770
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Other Identifiers 1

Medicare UPINVAD000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Scott Sheperd Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49770 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $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.

Other Providers at the Same Location NPPES 9

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

TIMOTHY S. JARVI MD PC
Durable Medical Equipment & Medical Supplies
2325 SUMMIT PARK DR, SUITE A
PETOSKEY, MI 49770
Emmet County (231) 348-3636
DR. KATHLEEN MARIE KELLY AU.D.
Audiologist
2325 SUMMIT PARK DR, SUITE B
PETOSKEY, MI 49770
Emmet County (231) 347-1800
MS. LISA M HOFFMAN FNP-C
Nurse Practitioner (Family)
2325 SUMMIT PARK DR, SUITE 3
PETOSKEY, MI 49770
Emmet County (231) 439-5100
AMY CULLEN M.S. CCCA
Audiologist
2325 SUMMIT PARK DR, SUITE B
PETOSKEY, MI 49770
Emmet County (231) 347-1800
BAYSIDE FAMILY & SPORTS MEDICINE PC
Family Medicine
2325 SUMMIT PARK DR, SUITE 3
PETOSKEY, MI 49770
Emmet County (231) 439-5100
DR. TODD M SHEPERD MD
Family Medicine
2325 SUMMIT PARK DR, SUITE 3
PETOSKEY, MI 49770
Emmet County (231) 439-5100
DR. TIMOTHY SCOTT JARVI MD
Ophthalmology
2325 SUMMIT PARK DR
PETOSKEY, MI 49770
Emmet County (231) 348-3600
TIMOTHY S JARVI MD PC
Ophthalmology
2325 SUMMIT PARK DR
PETOSKEY, MI 49770
Emmet County (231) 348-3600

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 Robert Sheperd's NPI number?

The NPI number for Robert Sheperd is 1568456028. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Robert Sheperd located?

Robert Sheperd practices at 2325 Summit Park Dr Suite D, Petoskey, MI 49770. The listed phone number is (231) 487-1020.

What is Robert Sheperd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Robert Sheperd enrolled in Medicare?

Yes. Robert Sheperd is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Sheperd was last updated on March 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.