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PATRICK GORMAN SHEPHERD APRN
NPI 1629561493
Nurse Practitioner - Family in Whitley City, KY

Active since June 07, 2018PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
1900 N HIGHWAY 27, WHITLEY CITY, KY 42653(606) 376-5391(888) 960-2041 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2023, Sep 15, 2021, Aug 31, 2018 (3 updates tracked since 2018).

About Patrick Gorman Shepherd Aprn NPPES

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

PATRICK GORMAN SHEPHERD APRN (NPI 1629561493) is an individual family provider in Whitley City, Kentucky, licensed in Kentucky (3012643) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629561493
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NamePATRICK GORMAN SHEPHERDCredential: APRN
Location Address1900 N HIGHWAY 27Whitley City, KY 42653-4119
Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 858-6655 · Fax (270) 858-4607
Phone(606) 376-5391
Fax(888) 960-2041
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 7, 2018
Last NPPES UpdateMarch 15, 20233 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
✔ NPI 1629561493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3012643
1900 N HIGHWAY 27, Whitley City, KY 42653
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1305 Langdon StSomerset, KY 42503-2750 · Phone (606) 679-7441 ext. 3520
Location 265 Center AveWhitley City, KY 42653 · Phone (606) 376-2224 · Fax (606) 376-2205

Other Identifiers 1

Medicaid7100562830KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Patrick Gorman Shepherd Aprn 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 ID6103179270
PECOS Enrollment IDI20181019002084
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services51 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
31 services29 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
23 services12 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42653 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.69
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

JENNIFER J WEST APRN
Nurse Practitioner (Family)
1900 N HIGHWAY 27
WHITLEY CITY, KY 42653
McCreary County (606) 376-5391
LAUREN FULLER
Physician Assistant
1900 N HIGHWAY 27
WHITLEY CITY, KY 42653
McCreary County (606) 376-5391
DAPHNE ANN CLARK APRN
Nurse Practitioner (Family)
1900 N HIGHWAY 27
WHITLEY CITY, KY 42653
McCreary County (606) 376-3326
KELSIE HAMMONS FNP-C
Nurse Practitioner (Family)
1900 N HIGHWAY 27
WHITLEY CITY, KY 42653
McCreary County (606) 376-5391

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 Patrick Shepherd's NPI number?

The NPI number for Patrick Shepherd is 1629561493. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Patrick Shepherd located?

Patrick Shepherd practices at 1900 N Highway 27, Whitley City, KY 42653. The listed phone number is (606) 376-5391.

What is Patrick Shepherd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Patrick Shepherd enrolled in Medicare?

Yes. Patrick Shepherd 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 Patrick Shepherd accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Patrick Shepherd 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 Patrick Shepherd affiliated with any hospitals?

According to CMS data, Patrick Shepherd is affiliated with Lake Cumberland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Patrick Shepherd was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.