DR. DOUGLAS LINDSAY SHEPARD (MD) – Neurology Physician, NPI 1699741108
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. DOUGLAS LINDSAY SHEPARD (MD)
1000, Willow Creek Road, Miller Valley, Prescott, Yavapai County, Arizona, 86301, United States
SUITE C
PRESCOTT, AZ 863011645
Phone: (928) 717-9797
Fax: (928) 717-2949
Type: Location
PO BOX 10097
PRESCOTT, AZ 863040097
Phone: (928) 717-9797
Fax: (928) 717-2949
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2023-07-12 • Largest payer in this snapshot: Medtronic, Inc. ($56).
Total Amount
$56
General + Research + Ownership
Payments
2
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $56 |
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: 2004-11-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041118000850 | I | Neurology | AZ | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 86301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROLOGY | AZ | 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | AZ | |
| N E U R O L O G Y | AZ | |
| N E U R O L O G Y | AZ | |
| N E U R O L O G Y | AZ | |
| N E U R O L O G Y | AZ | |
| N E U R O L O G Y | AZ | |
| A N E S T H E S I O L O G Y | AZ | |
| Pain Management | AZ | |
| Nurse Practitioner | AZ | |
| N E U R O L O G Y | AZ |
Reviews
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