SCOTT THOMAS SHEPHERD (D.O.) – Internal Medicine Physician, NPI 1053569640

SCOTT THOMAS SHEPHERD (D.O.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in Internal Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 02234 (OK). The NPI Number for SCOTT THOMAS SHEPHERD (D.O.) is 1053569640

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT THOMAS SHEPHERD (D.O.)
NPI
1053569640
Phone
(918) 216-0157
Address
4200 E SKELLY DR STE 305
Enumeration Date
8 September 2008
Last Update Date
8 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
7416113246
Group Practice PAC ID
2567366495
Professional Enrollment ID
I20120724000308
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for SCOTT THOMAS SHEPHERD (D.O.)

  • 4200 E SKELLY DR STE 305

    TULSA, OK 741353247

    Phone: (918) 216-0157

    Fax: (918) 216-0159

    Type: Location

  • Holliman Medical Building, 1705, East 19th Street, Yorktown, Tulsa, Tulsa County, Oklahoma, 74104, United States

    STE 302

    TULSA, OK 741045405

    Phone: (918) 748-7585

    Fax: (918) 748-7539

    Type: Mailing

  • 4200 E SKELLY DR

    TULSA, OK 741353247

    Phone: (918) 216-0157

    Fax: (918) 216-0159

    Type: Mailing

  • PO BOX 740020

    ATLANTA, GA 303740020

    Phone: (127) 339-7303

    Fax: (773) 866-8014

    Type: Mailing

  • 1538 N LEWIS AVE

    TULSA, OK 741102535

    Phone: (918) 400-7001

    Fax: (539) 202-5070

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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.

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
99212Established patient office or other outpatient visit, 10-19 minutes14460$0
99202New patient office or other outpatient visit, 15-29 minutes3030$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3030$0
83036Hemoglobin a1c level1312$0
View full utilization report →

Insurance plans in this area (ZIP 74135)

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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: 2567366495View full group profile

Reviews

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Frequently asked questions

Can I verify SCOTT THOMAS SHEPHERD (D.O.) with an NPI only?
You can start verification with NPI 1053569640 for SCOTT THOMAS SHEPHERD (D.O.), then check state licensing separately.
Does the file indicate SCOTT THOMAS SHEPHERD (D.O.) is practicing under active NPI?
Directory data currently reports SCOTT THOMAS SHEPHERD (D.O.) as active.
What is SCOTT THOMAS SHEPHERD (D.O.) best known for clinically?
Directory data describes SCOTT THOMAS SHEPHERD (D.O.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect SCOTT THOMAS SHEPHERD (D.O.) on a map?
Expect Tulsa, Oklahoma as a primary anchor for SCOTT THOMAS SHEPHERD (D.O.) unless the record lists multiple sites.
Why does SCOTT THOMAS SHEPHERD (D.O.) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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