DR. LISA A SHEPHERD (M.D.) – Family Medicine Physician, NPI 1063499184

DR. LISA A SHEPHERD (M.D.) is a healthcare provider. based in Fort dodge, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 35941 (IA). The NPI Number for DR. LISA A SHEPHERD (M.D.) is 1063499184

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA A SHEPHERD (M.D.)
NPI
1063499184
Phone
(515) 574-6890
Address
24 N 9TH ST
Enumeration Date
29 December 2005
Last Update Date
22 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7127324030
Graduation Year
2002 (24 years ago)
PAC ID
4385610302
Group Practice PAC ID
7315858529
Professional Enrollment ID
I20050505000140
Address ID
IA505883027ST1525XSTXX413
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

1,656 FAMILY PRACTICE in IA

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Provider Addresses for DR. LISA A SHEPHERD (M.D.)

  • North 9th Street, Fort Dodge, Webster County, Iowa, 50501, United States

    FORT DODGE, IA 505013905

    Phone: (515) 574-6890

    Fax: (515) 574-6458

    Type: Mailing

  • UnityPoint Clinic Family Health Center – Storm Lake, 2015, West 5th Street, Vista Estates Mobile Home Park, Storm Lake, Buena Vista County, Iowa, 50588, United States

    STORM LAKE, IA 505883000

    Phone: (712) 732-5030

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABIOMED ($34).

Total Amount

$34

General + Research + Ownership

Payments

1

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$34
View all Open Payments →|Open Payments Risk Radar →

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: 2005-05-05

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
I20050505000140IFamily PracticeIATBD

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.

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

Insurance plans in this area (ZIP 50501)

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Provider's Procedures

DR. LISA A SHEPHERD (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIA83036Hemoglobin A1C level7235
FAMILY MEDICINEIA90670Pneumococcal vaccine for injection into muscle3434

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: 7315858529View full group profile
NameSpecialtyState
-IA
Nurse PractitionerIA
D E R M A T O L O G YOH
Certified Registered Nurse Anesthetist (Crna)AL
-IA
Family PracticeMN
Emergency MedicineIA
Nurse PractitionerIA
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA

Reviews

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Frequently asked questions

Can I verify DR. LISA A SHEPHERD (M.D.) with an NPI only?
You can start verification with NPI 1063499184 for DR. LISA A SHEPHERD (M.D.), then check state licensing separately.
Does CMS list DR. LISA A SHEPHERD (M.D.) as active?
Yes — DR. LISA A SHEPHERD (M.D.) is active in the NPI listing used on this page.
What is DR. LISA A SHEPHERD (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. LISA A SHEPHERD (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. LISA A SHEPHERD (M.D.) on a map?
Expect Fort Dodge, Iowa as a primary anchor for DR. LISA A SHEPHERD (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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