BRADLEY DAVID SHEPHERD (MD) – Gastroenterology Physician, NPI 1649327594
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
524 GASTROENTEROLOGY in GA
Provider Addresses for BRADLEY DAVID SHEPHERD (MD)
1001 SUMMIT BLVD STE 200
BROOKHAVEN, GA 303196410
Phone: (770) 989-1668
Fax: (678) 388-1759
Type: Location
Diva Nails, 1001, US Highway 72 East, Athens, Limestone County, Alabama, 35611, United States
ATHENS, GA 306013806
Phone: (706) 548-0008
Fax: (706) 369-9673
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 167 Open Payments records for all available years, with a total value of $3,163.
Total Amount is formed as General ($3,163) + Research ($0) + Ownership ($0) = $3,163.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($799).
Total Amount
$3,163
General + Research + Ownership
Payments
167
Total payment records
General Amount
$3,163
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $799 |
| GENZYME CORPORATION | $403 |
| Janssen Biotech, Inc. | $241 |
| Lilly USA, LLC | $178 |
| PFIZER INC. | $178 |
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: 2011-08-08
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 |
|---|---|---|---|---|
| I20110808000205 | I | Gastroenterology | GA | 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 |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 130 | 128 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 89 | 76 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 82 | 82 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 62 | 57 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 53 | 53 | $0 |
Insurance plans in this area (ZIP 30319)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Physician Assistant | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Physician Assistant | GA | |
| G A S T R O E N T E R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Nurse Practitioner | GA |
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