KIMBERLY G SHEPARD MD
NPI 1720183395
Otolaryngology in San Jose, CA

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
80.58/100
CMS Quality Rating
751 S BASCOM AVE, ENT CLINIC, SAN JOSE, CA 95128(408) 885-6767 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly G Shepard Md NPPES

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

KIMBERLY G SHEPARD MD (NPI 1720183395) is an individual otolaryngology provider in San Jose, California, licensed in California (G75979) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (1991).

NPPES Registry Identity

NPI1720183395
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameKIMBERLY G SHEPARDCredential: MD
Location Address751 S BASCOM AVE, ENT CLINICSan Jose, CA 95128-2604
Mailing Address751 S Bascom AveSan Jose, CA 95128-2604 · (408) 885-5000
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1991
Enumeration DateSeptember 14, 2006
Last NPPES UpdateSeptember 12, 2007
NPI 1720183395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in CA · G75979
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
751 S BASCOM AVE, San Jose, CA 95128

Other Identifiers 3

Medicare UPING35517CA
Medicaid00G759790CA
Medicare PIN00G759790CA

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

Kimberly G Shepard Md 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 ID4981766920
PECOS Enrollment IDI20081229000315
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 5

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
61 services59 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
30 services28 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
26 services26 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.
14 services14 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

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.

80.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.43
Promoting Interoperability100
Improvement Activities40
Cost46.5

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.

Pharmacist
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Perfusionist
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Thoracic Surgery (Cardiothoracic Vascular Surgery)
751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128
Internal Medicine
751 S BASCOM AVE, RADIATION ONCOLOGY
SAN JOSE, CA 95128

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 Kimberly Shepard's NPI number?

The NPI number for Kimberly Shepard is 1720183395. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Kimberly Shepard located?

Kimberly Shepard practices at 751 S Bascom Ave Ent Clinic, San Jose, CA 95128. The listed phone number is (408) 885-6767.

What is Kimberly Shepard's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kimberly Shepard enrolled in Medicare?

Yes. Kimberly Shepard 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.

When was this NPI record last updated?

The NPPES record for Kimberly Shepard was last updated on September 12, 2007. 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.