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Dr. Glen M. Sheppard , MD

Physician • St George, UT

Deactivated NPI 1871798041 Deactivated in NPPES Male Practitioner
Practice location in NPPES

1036 E Riverside Dr
St George, UT 847904477

Phone: 4356560022

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.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of September 27, 2024; the reason is not published. The records below are historical. They do not show whether Dr. Glen Sheppard currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date June 18, 2007
NPI Deactivation Date September 27, 2024
NPI Active Period 2007 – 2024

Practice Location & Contact Primary Location

Practice Address

1036 E Riverside Dr

St George, UT 847904477

Telephone 4356560022

30-day fills

12 standardized 30-day fills in 2022

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

$294 in 2022

The total cost of these prescriptions in 2022, paid by Medicare drug plans, patients and other payers together.

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 – by Provider and Drug, 2022.

NPI first issued

2007

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.

Compared with the same specialty in St George and Utah

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Medicare Part D Prescribers (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2022.

CMS Part D · Data Year 2022
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Sumatriptan Succinate Sumatriptan Succinate 12 360 $293.50 —

Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Clinic/Center - Primary Care Primary Specialty

NUCC Taxonomy Code: 261QP2300X

License # reported to NPPES UT 148902-1205
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: Utah Division of Professional Licensing.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

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

3 listed
NPI 1487754750

Doctor of Podiatric Medicine

Dr. Dagmar Crosby , MD

Family Medicine

NPI 1154303352

Doctor of Medicine (M.D.)

Bonnie Wood , PA

Physician Assistant - Medical

NPI 1457610255

Physician Assistant

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated September 27, 2024

NPPES lists this NPI as deactivated as of September 27, 2024; the reason is not published.

âś…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 08, 2007

Registered at 1036 E RIVERSIDE DR, ST GEORGE, UT 847904477 (Tel: 4356560022)

📍
Business Mailing Address (Initial Record) July 08, 2007

Registered at 3012 SUGAR LEO RD, ST GEORGE, UT 847907965

👤
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as GLEN SHEPPARD, M.D.

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

Clinic/Center (license number reported to NPPES: UT 148902-1205)

🟢
Initial NPI Registration & Enumeration June 18, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1871798041
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2007
Last Update: July 08, 2007
Deactivation Date: September 27, 2024

Mailing Address

3012 Sugar Leo Rd

St George, UT 847907965

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.