Active NPI 1265844112 Individual Practitioner Male Practitioner

Dr. James A. Shepard , DO

Internal Medicine • Newark, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Shepard, DO is a certified Internal Medicine practicing in Newark, DE. With approximately 12 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 2014, Dr. Shepard delivers high-quality medical care to the local community at 4755 OGLETOWN-STANTON ROAD.

Dr. Shepard maintains professional affiliations with Union Hospital Of Cecil County, Christiana Care Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4755 Ogletown-Stanton Road
Suite 5a43

Newark, DE 197182200

Telephone 3026230188

Fax 3027335640

Associated Practice Facility / Clinic

🏢 Christiana Care Facility NPI 1174658470

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Newark, DE

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -4.6 yrs vs City Avg

City Avg: 16.6 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

243 Specialists

Practicing in Newark, DE (625 Statewide)

Telehealth Adoption Rate

11.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shepard (12 Years) 12 Yrs

Newark Specialty Average (16.6 Years) 16.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	212	207	$532.54	$167.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	44	$371.99	$126.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	341	334	$521.61	$173.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	91	89	$345.10	$131.25
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$205.93	$84.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	141	139	$468.28	$199.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	140	136	$294.73	$136.78
99221 Initial hospital inpatient care per day, typically 30 minutes	45	45	$206.40	$103.21
99219 Hospital observation care, typically 50 minutes	38	37	$291.84	$132.24
99220 Hospital observation care, typically 70 minutes	25	25	$439.32	$180.84
99218 Hospital observation care typically 30 minutes	13	13	$205.00	$100.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	213	211	$437.00	$203.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	151	151	$294.52	$137.29
99219 Hospital observation care, typically 50 minutes	38	38	$288.68	$134.23
99220 Hospital observation care, typically 70 minutes	22	22	$399.00	$185.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	139	139	$437.02	$207.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	117	115	$297.96	$143.38
99219 Hospital observation care, typically 50 minutes	39	39	$290.00	$140.40
99220 Hospital observation care, typically 70 minutes	26	26	$399.00	$190.87
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$219.00	$105.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	390	384	$437.15	$207.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	98	98	$308.14	$140.77
99220 Hospital observation care, typically 70 minutes	82	82	$399.00	$190.64
99219 Hospital observation care, typically 50 minutes	54	54	$290.00	$139.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	358	344	$437.08	$204.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	109	108	$301.62	$136.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	56	$156.54	$74.16
99220 Hospital observation care, typically 70 minutes	66	66	$399.00	$189.78
99219 Hospital observation care, typically 50 minutes	63	63	$290.00	$135.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	22	$85.82	$39.96
99238 Hospital discharge day management, 30 minutes or less	26	26	$156.00	$74.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	127	44	$277.00	$88.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	103	101	$437.00	$203.69
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	62	31	$210.00	$65.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	49	$155.71	$73.35
99213 Established patient office or other outpatient visit, typically 15 minutes	54	50	$220.00	$67.87
99220 Hospital observation care, typically 70 minutes	41	40	$399.00	$187.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	18	$84.77	$39.94
99238 Hospital discharge day management, 30 minutes or less	25	25	$156.00	$73.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	19	$223.00	$106.09
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	18	18	$382.28	$121.07
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$235.00	$103.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$297.00	$139.27

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License DE C2-0012021

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License FL UO4017

Hospital & Practice Group Affiliations

Union Hospital Of Cecil County

106 Bow St, Elkton, MD 219215544

Phone: 4103984000

Christiana Care Health Services Inc

4755 Ogletown Stanton Rd, Newark, DE 197182200

Phone: 3026230188

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Shruti Puri , MD

Internal Medicine - Infectious Disease

NPI 1003234451

Doctor of Medicine (M.D.)

Dr. Luviza Santos , MD

Internal Medicine

NPI 1003869827

Doctor of Medicine (M.D.)

Dr. Lucinda Li , DO

Internal Medicine

NPI 1013406016

Doctor of Osteopathic Medicine (D.O.)

Dr. Brieanna Bivens , MD

Hospitalist

NPI 1013413541

Doctor of Medicine (M.D.)

Katie Rubin , FNP

Nurse Practitioner

NPI 1013433978

Family Nurse Practitioner

Christos Arhontakis , PA-C

Physician Assistant

NPI 1013494855

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active July 07, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 07, 2017

Registered at 4755 OGLETOWN-STANTON ROAD, SUITE 5A43, NEWARK, DE 197182200 (Tel: 3026230188)

📍

Updated Business Mailing Address July 07, 2017

Registered at 200 HYGEIA DRIVE, SUITE 2300 CCHS PHYSICIAN CONTRACTING, NEWARK, DE 197132049

👤

Provider Name / Credentials Updated July 07, 2017

Recorded as JAMES SHEPARD, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2017

Internal Medicine (License #C2-0012021 in DE)

✅

NPI Profile Active May 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 27, 2014

Registered at 14000 FIVAY RD, HUDSON, FL 346677103 (Tel: 7278192966)

📍

Updated Business Mailing Address May 27, 2014

Registered at 14000 FIVAY RD, HUDSON, FL 346677103 (Tel: 7278192966)

👤

Provider Name / Credentials Updated May 27, 2014

Recorded as JAMES SHEPARD, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2014

Internal Medicine (License #UO4017 in FL)

🟢

Initial NPI Registration & Enumeration May 27, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265844112

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 27, 2014

Last Update: July 07, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 Hygeia Drive, Suite 2300 Cchs Physician Contracting

Newark, DE 197132049

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.