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Samuel Shepherd , OTR, L

Occupational Therapist โ€ข Gresham, OR

Active NPI 1568925287 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

24076 Se Stark St Ste 200
Gresham, OR 970303376

Call 5034911666 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

24076 Se Stark St Ste 200

Gresham, OR 970303376

Telephone 5034911666
Organization at the Same NPPES Address or Phone
Sportscare Integrative Physical Therapy Facility NPI 1548724677

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Sportscare Physical Therapy @ Cornell, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Medicare patients

36 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $13,105 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $10,203 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Samuel Shepherd has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Gresham and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 60% of clinicians listed under Occupational Therapist in Oregon (2024, 84 clinicians with data). Median for this group: 559. Middle half: 247 to 1,295.

Too few clinicians listed under Occupational Therapist in Gresham have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 60% of clinicians listed under Occupational Therapist in Oregon (2024, 84 clinicians with data). Median for this group: $16,166. Middle half: $7,192 to $35,063.

Too few clinicians listed under Occupational Therapist in Gresham have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 60% of clinicians listed under Occupational Therapist in Oregon (2024, 84 clinicians with data). Median for this group: $11,976. Middle half: $5,207 to $26,895.

Too few clinicians listed under Occupational Therapist in Gresham have Medicare Part B data for 2024 to compare.

37 active clinicians are listed under Occupational Therapist with a practice address in Gresham, OR (1,489 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gresham

0% of these 37 clinicians have the CMS telehealth indicator.

18.9% of these 37 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
172 25 $89.28 $29.67
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
153 30 $74.05 $24.65
97140 Therapy procedure using manual technique, each 15 minutes
33 13 $75.00 $21.10
97165 Evaluation for occupational therapy, typically 30 minutes
20 20 $256.36 $104.37
97168 Re-evaluation for occupational therapy, typically 30 minutes
20 12 $169.16 $72.34

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-06
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20211027002308

Enrollment State Jurisdiction

OR

PECOS Control ID

1951799725

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Sportscare Physical Therapy @ Cornell, Llc

10121 Se Sunnyside Rd, Clackamas, OR 970155750

Phone: 5037940103

Sportscare Physical Therapy @ Cornell, Llc

16100 Nw Cornell Rd, Beaverton, OR 970067369

Phone: 9712456663

Sportscare Physical Therapy @ Cornell, Llc

10748 Ne Halsey St, Portland, OR 972203961

Phone: 5032579881

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

12 listed
NPI 1518664895

Doctor of Physical Therapy, Physical Therapist

Dr. Stephen Block , DPT

Physical Therapist

NPI 1598289282

Doctor of Physical Therapy

NPI 1295441517

Physical Therapist, Doctor of Physical Therapy

Patrick Clinton , PT

Physical Therapist

NPI 1265801070

Physical Therapist

Clem Eischen , PT

Physical Therapist

NPI 1043292311

Physical Therapist

Kevin Eischen

Physical Therapist

NPI 1821543075

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
๐Ÿ“
Updated Practice Location January 03, 2022

Registered at 24076 SE STARK ST STE 200, GRESHAM, OR 970303376 (Tel: 5034911666)

๐Ÿ“
Updated Business Mailing Address January 03, 2022

Registered at 110 SE 65TH AVE, PORTLAND, OR 972151324

๐Ÿ‘ค
Provider Name / Credentials Updated January 03, 2022

Recorded as SAMUEL SHEPHERD, OTR/L

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2022

Occupational Therapist

โœ…
NPI Profile Active April 09, 2019

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 09, 2019

Registered at 405 NE 5TH ST, GRESHAM, OR 970307345 (Tel: 5036665600)

๐Ÿ“
Business Mailing Address (Initial Record) April 09, 2019

Registered at 25117 SW PARKWAY AVE, WILSONVILLE, OR 970709697

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 09, 2019

Recorded as SAMUEL SHEPHERD, COTA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2019

Occupational Therapy Assistant

๐ŸŸข
Initial NPI Registration & Enumeration April 09, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568925287
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2019
Last Update: January 03, 2022
Sole Proprietor: No

Other Occupational Therapists in Gresham

All Occupational Therapists in Gresham

Mailing Address

110 Se 65th Ave

Portland, OR 972151324

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.