THOMAS SHEPPARD – Medical Physician Assistant, NPI 1629740170

THOMAS SHEPPARD is a healthcare provider. based in Brighton, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5601010743 (MI). The NPI Number for THOMAS SHEPPARD is 1629740170

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS SHEPPARD
NPI
1629740170
Phone
(810) 299-8554
Address
2305 GENOA BUSINESS PARK DR STE 170
Enumeration Date
4 October 2021
Last Update Date
25 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8102998550
Graduation Year
2021 (5 years ago)
PAC ID
2365835469
Group Practice PAC ID
4981697976
Professional Enrollment ID
I20220214002027
Address ID
MI481147005BR2305XDRXX504
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for THOMAS SHEPPARD

  • 2305 GENOA BUSINESS PARK DR STE 170

    BRIGHTON, MI 481147005

    Phone: (810) 299-8554

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($65).

Total Amount

$91

General + Research + Ownership

Payments

2

Total payment records

General Amount

$91

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

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: 2022-02-14

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
I20220214002027IPhysician AssistantMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
27447Replacement of knee joint, both sides of knee5957$0
27130Replacement of thigh bone and hip joint with prosthesis2626$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance1511$0
View full utilization report →

Insurance plans in this area (ZIP 48114)

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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: 4981697976View full group profile
NameSpecialtyState
Physician AssistantMI
Orthopedic SurgeryMI
-MI
Physical Therapist In Private PracticeMI
Orthopedic SurgeryMI
Physician AssistantMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeNY
Orthopedic SurgeryMI

Reviews

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Frequently asked questions

Is there an official ID for THOMAS SHEPPARD in U.S. healthcare records?
The official identifier for THOMAS SHEPPARD is NPI 1629740170.
Would THOMAS SHEPPARD appear as active to a payer?
You can treat THOMAS SHEPPARD as active for directory purposes; confirm clinical privileges separately.
How would a patient describe THOMAS SHEPPARD's focus?
For THOMAS SHEPPARD, the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is THOMAS SHEPPARD located near Brighton?
THOMAS SHEPPARD currently maps to Brighton, Michigan in this extract.
Can I trust this NPI listing for THOMAS SHEPPARD?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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