DR. MARK EDWARD JR. SHEPHERD (M.D., M.P.H.) – Emergency Medicine Physician, NPI 1154300747

DR. MARK EDWARD JR. SHEPHERD (M.D., M.P.H.) is a healthcare provider. based in Jber, Alaska. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D., M.P.H.. They hold a License No. 7397 (AK). The NPI Number for DR. MARK EDWARD JR. SHEPHERD (M.D., M.P.H.) is 1154300747

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK EDWARD JR. SHEPHERD (M.D., M.P.H.)
NPI
1154300747
Phone
(907) 580-5556
Address
5955 ZEAMER AVE
Enumeration Date
11 January 2006
Last Update Date
26 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9072641222
Graduation Year
2004 (22 years ago)
PAC ID
9436376613
Group Practice PAC ID
0042102287
Professional Enrollment ID
I20140917001480
Address ID
AK995082932AN2801XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

151 EMERGENCY MEDICINE in AK

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Provider Addresses for DR. MARK EDWARD JR. SHEPHERD (M.D., M.P.H.)

  • 5955, Zeamer Avenue, Anchorage, Alaska, 99506, United States

    673D MDG

    JBER, AK 995063702

    Phone: (907) 580-5556

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140917001480IEmergency MedicineAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only233201$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only179170$0
99284Emergency department visit with moderate level of medical decision making154143$0
99285Emergency department visit with high level of medical decision making140135$0
99291Critical care, first 30-74 minutes103102$0
View full utilization report →

Insurance plans in this area (ZIP 99506)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042102287View full group profile
NameSpecialtyState
Emergency MedicineMD
-WA
Emergency MedicineAK
Emergency MedicineIL
Emergency MedicineAK
Emergency MedicineOH
-AK
Emergency MedicineAK
Emergency MedicineNV
Emergency MedicineAK

Reviews

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Frequently asked questions

What is the registry number for DR. MARK EDWARD JR. SHEPHERD (M.D., M.P.H.)?
The registry entry for DR. MARK EDWARD JR. SHEPHERD (M.D., M.P.H.) shows NPI 1154300747.
Should I treat DR. MARK EDWARD JR. SHEPHERD (M.D., M.P.H.) as an active provider?
Patients and plans typically see DR. MARK EDWARD JR. SHEPHERD (M.D., M.P.H.) as active in the national extract.
What type of care does DR. MARK EDWARD JR. SHEPHERD (M.D., M.P.H.) provide?
DR. MARK EDWARD JR. SHEPHERD (M.D., M.P.H.)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MARK EDWARD JR. SHEPHERD (M.D., M.P.H.)?
DR. MARK EDWARD JR. SHEPHERD (M.D., M.P.H.) shows a connection to Jber, Alaska in registry-derived data.
Why is information missing for DR. MARK EDWARD JR. SHEPHERD (M.D., M.P.H.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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