Jerry David Shepherd II, DDS
NPI 1508831371ActiveIndividual· Dentist, General Practice· Surfside Beach, SC
Dentist, General Practice (DDS) in Surfside Beach, South Carolina, licensed in SC and WV, with an NPI issued in February 2006. Part D covered 155 prescriptions written in 2024, 97% of them generic.
Overview
| NPI | 1508831371 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Feb 22, 2006 |
| Last updated in NPPES | Apr 27, 2023 |
| Certified by provider | Apr 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 10022 | SC |
| Dentist, General Practice | 1223G0001X | 3418 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 155 · 155 30-day fills |
|---|---|
| Patients | 103 |
| Total drug cost | $684.02 |
| Generic share | 97% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 20 general dentists in Surfside Beach · All general dentists in South Carolina