JOHN DUDLEY SHEPHERDSON (D.O.) – Family Medicine Physician, NPI 1164535910

Family Medicine Physician

JOHN DUDLEY SHEPHERDSON (D.O.) is a healthcare provider. based in Morton, Illinois. specializing in Family Medicine Physician. They hold the professional credentials D.O.. The NPI Number for JOHN DUDLEY SHEPHERDSON (D.O.) is 1164535910

Main info

Male

52 Years Of Experience

Accepts Medicare Assignment

Name

JOHN DUDLEY SHEPHERDSON (D.O.)

NPI

1164535910

Phone

(309) 266-9711

Address

107 E JEFFERSON ST

Enumeration Date

16 August 2006

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED

Secondary Phone

Graduation Year

1974 (52 years ago)

PAC ID

4486782323

Group Practice PAC ID

1355259714

Professional Enrollment ID

I20100513000381

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience43

Completeness75

Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for JOHN DUDLEY SHEPHERDSON (D.O.)

107, East Jefferson Street, Morton, Tazewell County, Illinois, 61550, United States
MORTON, IL 615502001
Phone: (309) 266-9711
Fax: (309) 266-6322
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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61550)

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Provider's Procedures

JOHN DUDLEY SHEPHERDSON (D.O.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
FAMILY MEDICINE	IL	81002	Urinalysis, manual test	34	28
FAMILY MEDICINE	IL	90670	Pneumococcal vaccine for injection into muscle	33	33

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: 1355259714View full group profile

Name	Specialty	State
MS. COURTNEY M JAEGLE (PA)	Physician Assistant	IL
CELESTE ERIKA VALENCIA (M.D.)	-	IL
DR. DOUGLAS B TIPPIN (M.D., PHD)	Radiation Oncology	NC
MS. ALICIA LAYTON	-	IL
JULIE A DESUTTER (PA)	-	IL
MCKENZIE REGAN LIKES (APN-C)	-	OK
CHARLES A STEIGER (MD)	U R O L O G Y	AR
DR. REHMAN IZHAR USMANI (M.D.)	Internal Medicine	IL
JEFFREY S. LEMAN (MD)	Emergency Medicine	IL
DOMINIQUE K FONS (MD)	Family Practice	IL

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Frequently asked questions

What is the registry number for JOHN DUDLEY SHEPHERDSON (D.O.)?

The registry entry for JOHN DUDLEY SHEPHERDSON (D.O.) shows NPI 1164535910.

Is JOHN DUDLEY SHEPHERDSON (D.O.)'s NPI status active today?

Active status means JOHN DUDLEY SHEPHERDSON (D.O.)'s NPI record is not deactivated in the public file.

Which specialty label fits JOHN DUDLEY SHEPHERDSON (D.O.)?

NPPES ties JOHN DUDLEY SHEPHERDSON (D.O.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

Is JOHN DUDLEY SHEPHERDSON (D.O.) tied to Morton, Illinois?

If you are local to Morton, Illinois, JOHN DUDLEY SHEPHERDSON (D.O.) may be relevant to your search.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.