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Deactivated NPI 1689755795 Deactivated / Inactive NPI Male Practitioner

Dr. Joel Robert Shepperd , MD

General Practice • Lombard, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Joel Shepperd has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 17, 2006
NPI Deactivation Date October 30, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Joel Shepperd, MD was a registered General Practice practicing in Lombard, IL. Throughout an active medical career spanning 18 years, Dr. Shepperd provided care at the practice location at 400 E 22ND ST until profile deactivation on 2024-10-30.

Historical Medicare Part B clinical services included established patient outpatient office visit, outpatient office visit, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

400 E 22nd St
Suite F

Lombard, IL 601486104

Telephone 6307929311
Fax 6307929316
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Lombard, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Lombard, IL (355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
3.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
116 48 $42.55 $41.58
99213 Established patient office or other outpatient visit, typically 15 minutes
61 27 $80.51 $77.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
48 27 $23.65 $21.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
32 22 $108.72 $106.15

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IN 01043409A

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Timothy Fior , MD

Family Medicine

NPI 1346355260

Doctor of Medicine (M.D.)

NPI 1568612505

Doctor of Chiropractic, Doctor of Naturopathic Medicine

NPI 1598808248

Doctor of Chiropractic, OMD

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 30, 2024

Record deactivated on October 30, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 400 E 22ND ST, SUITE F, LOMBARD, IL 601486104 (Tel: 6307929311)

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Updated Business Mailing Address July 08, 2007

Registered at 400 E 22ND ST, SUITE F, LOMBARD, IL 601486104 (Tel: 6307929311)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOEL SHEPPERD, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #01043409A in IN)

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Initial NPI Registration & Enumeration October 17, 2006

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: 1689755795
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: July 08, 2007
Deactivation Date: October 30, 2024

Mailing Address

400 E 22nd St, Suite F

Lombard, IL 601486104

Phone: 6307929311

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.