SCOTT B SHEPARD (PA-C) – Physician Assistant, NPI 1659339844
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for SCOTT B SHEPARD (PA-C)
2053 FOUNTAIN PROFESSIONAL CT STE B
NAVARRE, FL 325665109
Phone: (850) 233-3376
Fax: (850) 522-8354
Type: Location
105 DELTA PARK DR STE B
SHELBY, NC 281503575
Phone: (704) 484-0464
Fax: (704) 482-0308
Type: Location
1072 X RAY DR
GASTONIA, NC 280547488
Phone: (704) 671-1094
Fax: (704) 671-1095
Type: Mailing
Dermatology Specialists of Florida, 2505, Harrison Avenue, Panama City, Bay County, Florida, 32405, United States
PANAMA CITY, FL 324054464
Phone: (850) 233-3376
Fax: (850) 522-8354
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 127 Open Payments records for all available years, with a total value of $3,066.
Total Amount is formed as General ($3,066) + Research ($0) + Ownership ($0) = $3,066.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: PFIZER INC. ($592).
Total Amount
$3,066
General + Research + Ownership
Payments
127
Total payment records
General Amount
$3,066
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $592 |
| ABBVIE INC. | $491 |
| Janssen Biotech, Inc. | $384 |
| Sun Pharmaceutical Industries Inc. | $266 |
| Lilly USA, LLC | $134 |
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: 2022-02-23
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 |
|---|---|---|---|---|
| I20220223001597 | I | Physician Assistant | NC | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 996 | 175 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 504 | 305 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 364 | 232 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 196 | 170 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 139 | 105 | $0 |
Insurance plans in this area (ZIP 32566)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | NC | |
| D E R M A T O L O G Y | NC | |
| Plastic And Reconstructive Surgery | NC | |
| D E R M A T O L O G Y | NC | |
| Plastic And Reconstructive Surgery | NC | |
| - | NC | |
| - | NC | |
| P A T H O L O G Y | NC | |
| D E R M A T O L O G Y | IL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | NC |
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