Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144210352 Individual Practitioner Female Practitioner

Dr. Mary Elizabeth Shepherd , MD, PhD

Dermatology • Austin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Mary Shepherd, MD, PhD is a registered healthcare professional specializing in Dermatology in Austin, TX. Practice services are available at 12545 RIATA VISTA CIR under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12545 Riata Vista Cir

Austin, TX 787276524

Telephone 5125261776
Fax 5122981277
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
101 Specialists

Practicing in Austin, TX (1210 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.1% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
53 17 $15.09 $5.27
99213 Established patient office or other outpatient visit, typically 15 minutes
37 37 $115.62 $66.15
17000 Destruction of skin growth
22 22 $131.46 $48.22
11100 Biopsy of single growth of skin and/or tissue
13 13 $172.80 $97.38

Medical Specialties & State Licenses

CMS Verified: 2020-09-30
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License TX H6599

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
105402503 (TX)
Commercial Insurance / Payer ID Blue Cross Blue Shield
8B8802 (TX)

Secondary Practice Locations

6655 Travis St, Suite 980

Houston, TX 770301312

Phone: 7135008333

Practice Associates & Co-Workers

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

8 Associated Practitioners
Amber Abramson

Nurse Practitioner - Women's Health

NPI 1033047592
Onhelina Holman , RN

Registered Nurse - General Practice

NPI 1194683334

Registered Nurse

Shannon Engquist , LVN

Licensed Vocational Nurse

NPI 1356200471

Licensed Vocational Nurse

Dr. Asha Alex , MD

Internal Medicine

NPI 1417237025

Doctor of Medicine (M.D.)

NPI 1730570821

Doctor of Dental Surgery

Tracy Chavez Dell , RN

Registered Nurse

NPI 1891622742

Registered Nurse

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 30, 2020

Registered at 12545 RIATA VISTA CIR, AUSTIN, TX 787276524 (Tel: 5125261776)

📍
Updated Business Mailing Address September 30, 2020

Registered at PO BOX 171179, AUSTIN, TX 787170041 (Tel: 5125261776)

NPI Profile Active March 02, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2009

Registered at 6655 TRAVIS ST, SUITE 980, HOUSTON, TX 770301312 (Tel: 7135008333)

📍
Updated Business Mailing Address March 02, 2009

Registered at PO BOX 6419, KINGWOOD, TX 773256419 (Tel: 7135008333)

👤
Provider Name / Credentials Updated March 02, 2009

Recorded as MARY SHEPHERD, M.D.,PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2009

Dermatology (License #H6599 in TX)

🟢
Initial NPI Registration & Enumeration October 27, 2005

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: 1144210352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2005
Last Update: September 30, 2020
Sole Proprietor: No

Mailing Address

Po Box 171179

Austin, TX 787170041

Phone: 5125261776

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.