Dr. David Shepard, MD
4700 Las Vegas Blvd N, Nellis Afb, NV 89191 • +1-880-555-5345
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Nellis Afb Percentiles
NPI #1518015973 • CBSA Regional • Internal Medicine
Anchored in Nellis Afb, NV 89191, Dr. David Shepard, MD (NPI 1518015973) logged 1,020 annual procedures (mid-cohort balanced caseload (50th Nellis Afb percentile), 30.49th NV percentile, -0.15σ) with sub-specialty concentration in 25 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1518015973 highlights 237 annual claims for 99214 (50th Nellis Afb percentile; $99–$135 self-pay corridor) plus 137 encounters under 99213 and 68 under 93000.
Uninsured and high-deductible cash patients visiting Dr. David Shepard in Nellis Afb (89191) face an estimated $209.00 initial evaluation fee at 4700 Las Vegas Blvd N (hybrid in-clinic and telehealth video consults; 20-minute average reception wait; bedside manner 4.82/5 from 8 verified reports).
NPI registry verification (#1518015973) confirms Dr. David Shepard's MD standing serving CBSA 89191 with a 4.89/5 patient scorecard.
Compared against Nellis Afb, NV Internal Medicine peers
1,020 annual services across 371 beneficiaries
Standard deviations from NV Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 237 | 50th | $99 – $135 |
| 99213 | Established Preventive & Chronic Care Visit | 137 | 50th | $76 – $104 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 68 | 53th | $36 – $51 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 53 | 48th | $116 – $159 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 32 | 52th | $137 – $188 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (25 HCPCS billing breadth) | 494 | 50th | $89 – $129 |
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Dr. David Shepard, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shepard National Provider Identifier | NPI #1518015973 (MD) | CMS NPPES Registry (89191) |
| Dr. Shepard Nellis Afb CMS Volume Rank | 50.00th Pct (1,020 CMS svcs; Z -0.148σ) | CMS Medicare Part B (NV Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Nellis Afb, NV) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.82/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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