MILTON W. SHEPPERD, DO, PA
NPI 1629149810
Internal Medicine - Geriatric Medicine in Meadowlakes, TX

Active since November 11, 2006
113 BROADMOOR ST, MEADOWLAKES, TX 78654(830) 693-1792(830) 693-1685 Get Directions Write a Review

NPPES record last updated: May 5, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Milton W. Shepperd, Do, Pa NPPES

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

MILTON W. SHEPPERD, DO, PA (NPI 1629149810) is a healthcare organization registered as a geriatric medicine in Meadowlakes, Texas and active in the NPI registry since November 2006. The organization lists Milton Wirtz Shepperd, President, as its authorized official.

NPPES Registry Identity

NPI1629149810
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameMILTON W. SHEPPERD, DO, PA
Location Address113 BROADMOOR STMeadowlakes, TX 78654-6601
Mailing AddressPo Box 1930Marble Falls, TX 78654-2680 · (830) 693-1792 · Fax (830) 693-1685
Fax(830) 693-1685
Organization SubpartNo
Authorized OfficialMilton Wirtz ShepperdPresident · (830) 693-1792
Enumeration DateNovember 11, 2006
Last NPPES UpdateMay 5, 2009
✔ NPI 1629149810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in TX · J6722
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License J6722 (TX)
113 BROADMOOR ST, Meadowlakes, TX 78654

Other Identifiers 6

OtherDG9173TX · Railroad Medicare
Other0068AATX · Blue Cross Blue Shield
Medicare ID-Type Unspecified00417ZTX
Medicare ID-Type Unspecified00370ZTX
Medicaid176966301TX
Medicaid176966302TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Milton W. Shepperd, Do, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20050909000870Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Milton W. Shepperd, Do, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1801967096
113 BROADMOOR ST
Meadowlakes, TX 78654
(830) 693-1792
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578763900
1100 LINDIG LN
Johnson City, TX 78636
(830) 868-2997
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1427213560
1623 W NEW HOPE DR
Cedar Park, TX 78613
(512) 657-1729
✔ PECOS26 mi

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

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 Milton W. Shepperd, Do, PA's NPI number?

The NPI number for Milton W. Shepperd, Do, PA is 1629149810. It was assigned to this organization in the NPPES registry on November 11, 2006.

Where is Milton W. Shepperd, Do, PA located?

Milton W. Shepperd, Do, PA is located at 113 Broadmoor St, Meadowlakes, TX 78654. The listed phone number is (830) 693-1792.

What is Milton W. Shepperd, Do, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Milton W. Shepperd, Do, PA enrolled in Medicare?

Yes. Milton W. Shepperd, Do, PA is registered in the Medicare PECOS enrollment system.

When is Milton W. Shepperd, Do, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Milton W. Shepperd, Do, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Milton W. Shepperd, Do, PA, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Milton W. Shepperd, Do, PA was last updated on May 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.