Cynthia J Shepherd , PA-C
Physician Assistant โข Tyler, TX
5414 S Broadway
Tyler, TX 757031335
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Cynthia Shepherd is listed in NPPES under Physician Assistant.
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NPI assigned on September 21, 2006; this date does not establish years in practice.
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Published CMS data list 272 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 173 service units.
- 99213 โ Established patient outpatient office visit: 59 service units.
- G0439 โ Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 40 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,284 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium โ 60 prescription fills, including refills.
- Amlodipine Besylate โ 54 prescription fills, including refills.
- Losartan Potassium โ 53 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 54 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Tyler, TX (2024, 66 clinicians with data). Median for this group: 376. Middle half: 164 to 966.
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 206 in 2020 to 272 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
5414 S Broadway
Tyler, TX 757031335
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 4 distinct additional practice-address records in Flint, TX; Longview, TX; Sulphur Springs, TX and 1 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Christus Trinity Clinic. 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
1987
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
144 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $21,461 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 $15,163 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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.
30-day fills
2,588 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$56,461 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $17.83 in 2022
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2022.
Years since graduation
39 years (graduated 1987)
CMS Doctors and Clinicians data list 1987 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2006
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Cynthia 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.
Can order Medicare-covered services
CMS lists Cynthia Shepherd as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Tyler and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Tyler, TX (2024, 66 clinicians with data). Median for this group: 376. Middle half: 164 to 966.
Close to the middle for clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Medicare-allowed amount
A lower Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Tyler, TX (2024, 66 clinicians with data). Median for this group: $26,434. Middle half: $10,594 to $57,835.
Close to the middle for clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.
Paid by Medicare
A lower Medicare payment amount than 60% of clinicians listed under Physician Assistant in Tyler, TX (2024, 66 clinicians with data). Median for this group: $19,779. Middle half: $7,945 to $41,751.
Close to the middle for clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Tyler, TX (2024, 54 clinicians with data). Median for this group: 423. Middle half: 89 to 1,556.
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Physician Assistant in Tyler, TX (2024, 54 clinicians with data). Median for this group: $6,587. Middle half: $944 to $211,662.
A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $7,999. Middle half: $749 to $103,240.
98 active clinicians are listed under Physician Assistant with a practice address in Tyler, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Tyler
6.1% of these 98 clinicians have the CMS telehealth indicator.
65.3% of these 98 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 32% from 206 in 2020 to 272 in 2024.
- 2020: 206
- 2021: 464
- 2022: 451
- 2023: 348
- 2024: 272
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Medicare-allowed amount
Medicare-allowed amount increased 126% from $9,506 in 2020 to $21,461 in 2024.
- 2020: $9,506
- 2021: $28,720
- 2022: $30,653
- 2023: $26,523
- 2024: $21,461
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Paid by Medicare
Paid by Medicare increased 173% from $5,549 in 2020 to $15,163 in 2024.
- 2020: $5,549
- 2021: $19,909
- 2022: $20,140
- 2023: $18,518
- 2024: $15,163
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 858% from 134 in 2020 to 1,284 in 2024.
- 2020: 134
- 2021: 616
- 2022: 1,068
- 2023: 1,050
- 2024: 1,284
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30-day fills
30-day fills increased 1831% from 134 in 2020 to 2,588 in 2024.
- 2020: 134
- 2021: 709
- 2022: 1,778
- 2023: 2,131
- 2024: 2,588
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Part D drug cost
Part D drug cost went from $998 in 2020 to $56,461 in 2024.
- 2020: $998
- 2021: $6,214
- 2022: $44,576
- 2023: $34,449
- 2024: $56,461
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2022 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2022 (payments made January 1 โ December 31, 2022): fewer than 11 records totaling $17.83.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
EVENITY | General | $17.83 |
Source: CMS Open Payments, program year 2022, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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, 2017โ2024; 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 |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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173 | 105 | $289.00 | $80.38 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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59 | 50 | $204.00 | $54.05 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
40 | 40 | $295.00 | $109.17 |
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.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 60 | 3,979 | $899.52 | 16 |
| Amlodipine Besylate | Amlodipine Besylate | 54 | 3,960 | $934.72 | 14 |
| Losartan Potassium | Losartan Potassium | 53 | 3,840 | $660.13 | 15 |
| Lisinopril | Lisinopril | 50 | 3,800 | $672.08 | 16 |
| Levothyroxine Sodium | Levothyroxine Sodium | 50 | 3,660 | $347.94 | 15 |
| Metformin Hcl | Metformin Hcl | 46 | 3,320 | $380.06 | 12 |
| Gabapentin | Gabapentin | 45 | 2,775 | $1,454.12 | 14 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 44 | 3,762 | $984.62 | 17 |
| Azithromycin | Azithromycin | 42 | 209 | $134.74 | 39 |
| Pantoprazole Sodium | Pantoprazole Sodium | 39 | 2,370 | $523.52 | 11 |
| Prednisone | Prednisone | 33 | 319 | $60.31 | 29 |
| Fluconazole | Fluconazole | 33 | 324 | $401.08 | 21 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 32 | 848 | $994.56 | 15 |
| Duloxetine Hcl | Duloxetine Hcl | 31 | 2,310 | $826.86 | โ |
| Tamsulosin Hcl | Tamsulosin Hcl | 28 | 1,560 | $654.02 | โ |
| Bupropion Xl | Bupropion Hcl | 26 | 1,140 | $381.62 | โ |
| Tramadol Hcl | Tramadol Hcl | 24 | 511 | $173.81 | โ |
| Carvedilol | Carvedilol | 24 | 2,010 | $201.75 | โ |
| Citalopram Hbr | Citalopram Hydrobromide | 24 | 1,320 | $97.89 | โ |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 23 | 224 | $234.66 | 21 |
| Omeprazole | Omeprazole | 22 | 1,980 | $473.14 | โ |
| Sertraline Hcl | Sertraline Hcl | 21 | 1,770 | $323.00 | โ |
| Metoprolol Succinate | Metoprolol Succinate | 21 | 1,814 | $903.39 | โ |
| Synthroid | Levothyroxine Sodium | 20 | 1,800 | $1,258.47 | โ |
| Methocarbamol | Methocarbamol | 20 | 665 | $422.75 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-12-10NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20100804000192
TX
6204969744
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
Christus Trinity Clinic
620 S Fleishel Ave, Tyler, TX 757012041
Phone: 9036064900
Christus Trinity Clinic
520 Douglas Blvd, Tyler, TX 757028307
Phone: 9035931721
Christus Trinity Clinic
630 S Fleishel Ave, Tyler, TX 757012041
Phone: 9036065560
Christus Trinity Clinic
20208 State Hwy 155 S, Flint, TX 757625600
Phone: 9038256222
Secondary Practice Locations
2101 W Loop 281
Longview, TX 756042506
Phone: 9033154180
1339 S Broadway St
Sulphur Springs, TX 754824895
Phone: 9039511001
3593 E Grande Blvd
Tyler, TX 757071400
Phone: 9038392585
20208 State Highway 155 S
Flint, TX 757625600
Phone: 9038256222
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant
Nurse Practitioner
Nurse Practitioner
Physician Assistant
Physician Assistant
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Physician Assistant (license number reported to NPPES: TX PA00873)
NPI status registered as active in NPPES database
Registered at 5414 S BROADWAY, TYLER, TX 757031335 (Tel: 9035811601)
Registered at PO BOX 841656, DALLAS, TX 752841656 (Tel: 9035315000)
Recorded as CYNTHIA SHEPHERD, PA-C
Internal Medicine (license number reported to NPPES: TX PA00873)
NPI status registered as active in NPPES database
Registered at 5414 S BROADWAY, TYLER, TX 757031335 (Tel: 9035811601)
Registered at PO BOX 841656, DALLAS, TX 752841656 (Tel: 9035315000)
Recorded as CYNTHIA SHEPHERD, PA-C
Internal Medicine (license number reported to NPPES: TX PA00873)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Tyler
- Victoria Fleemin, PA-C
- Anthony Anderson, PA
- Rene Mccarty, PA
- Trent Hood, PA
- Diana Patterson, PA-C
- Amy Sproles, PA-C
Mailing Address
Po Box 841656
Dallas, TX 752841656
Phone: 9035315000