DR. GARY L SHEPHERDSON (MD) – Family Medicine Physician, NPI 1992757744
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,050 FAMILY PRACTICE in WI
Provider Addresses for DR. GARY L SHEPHERDSON (MD)
MCW & ALL SAINTS HEALTH CARE SYSTEM
1320 WISCONSIN AVE.
RACINE, WI 53403
Phone: (262) 638-5600
Type: Location
Ascension All Saints Hospital Wisconsin Avenue Campus, 1320, Wisconsin Avenue, Racine, Wisconsin, 53403, United States
MCW & ALL SAINTS HEALTH CARE SYSTEM
RACINE, WI 534031978
Phone:
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-02-08
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 |
|---|---|---|---|---|
| I20110208000521 | I | Family Practice | WI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 187 | 24 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 33 | 19 | $0 |
| 81002 | Urinalysis, manual test | 21 | 13 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 18 | 18 | $0 |
| G0008 | Administration of influenza virus vaccine | 18 | 18 | $0 |
Insurance plans in this area (ZIP 53403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | WI | 82270 | Stool analysis for blood to screen for colon tumors | 13 | 13 |
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