DR. JACOB MATTHEW SHEPHERD MD
NPI 1730574963
Family Medicine in Whiteman Afb, MO
About Dr. Jacob Matthew Shepherd Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACOB MATTHEW SHEPHERD MD (NPI 1730574963) is an individual family medicine provider in Whiteman Afb, Missouri, licensed in Missouri (2018023747) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and maintains a secondary practice location in Kansas City.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jacob Matthew Shepherd 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacob Shepherd reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Blue Springs, MO 64014
- Reassigned Medicare billing, Kansas and Missouri enrollments
- Medicare enrollment name: Saint Lukes Physician Group Inc
- 845 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 44 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Luke's South Hospital
Acute Care Hospitals · Overland Park, KSSaint Lukes North Hospital
Acute Care Hospitals · Kansas City, MOSt Lukes Hospital Of Kansas City
Acute Care Hospitals · Kansas City, MOSaint Luke's East Hospital
Acute Care Hospitals · Lees Summit, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
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.
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.
WHITEMAN AIR FORCE BASE, MO 65305
WHITEMAN AFB, MO 65305
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 Jacob Shepherd's NPI number?
The NPI number for Jacob Shepherd is 1730574963. It was assigned to this individual provider in the NPPES registry on April 3, 2015.
Where is Jacob Shepherd located?
Jacob Shepherd practices at 331 Sijen Ave, Whiteman Afb, MO 65305. The listed phone number is (660) 287-2180.
What is Jacob Shepherd's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jacob Shepherd enrolled in Medicare?
Yes. Jacob 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.
Which organizations bill Medicare for Jacob Shepherd's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Shepherd reassigns Medicare benefits to 2 organizations: Saint Luke's Physician Group Inc (Blue Springs, MO) and Inpatient Consultants Of Kansas PA (Saint Louis, MO). Each 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 Jacob Shepherd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Shepherd accept?
Health plans from Blue Cross and Blue Shield of Kansas City list Jacob 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 Jacob Shepherd affiliated with any hospitals?
According to CMS data, Jacob Shepherd is affiliated with Saint Luke's South Hospital, Saint Lukes North Hospital, St Lukes Hospital Of Kansas City and Saint Luke's East Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Shepherd was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Jacob Matthew Shepherd, MD · NPI 1730574963
Family Medicine physician in Whiteman Afb, Missouri. Individual provider, active in the CMS NPPES registry since April 3, 2015.
## Identity
- **NPI:** 1730574963 (Entity type: Individual)
- **Enumerated:** April 3, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2018023747 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 331 SIJEN AVE, Whiteman Afb, MO 65305
- **Phone:** (660) 287-2180
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Saint Luke's Physician Group Inc (NPI 1376257220, Blue Springs, MO); Inpatient Consultants Of Kansas PA (NPI 1861795635, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1730574963) · Data from the CMS NPPES public registry.