Mark Shepherd, MD
Endocrinology, Diabetes & Metabolism · Tupelo, MSNPI 1760499867
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.8% of the total across 1,090 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 58 manufacturers, the largest accounting for just 11.6% — the pattern of someone who eats at a lot of different presentations.
Across 1,090 payments — averaging $15.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$2K
- Novo Nordisk$1K
- Amgen$1K
- Abbott$1K
- Insulet Corporation$1K
- Xeris Pharmaceuticals, Inc.$1K
- plus $9K from 52 others
What the payments were for
- Food & beverage$17,291100%
- Education$380%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
How this compares
$17,328 in reported general payments places this provider in the 70th percentile of 48 endocrinology, diabetes & metabolism providers in Mississippi.
See all endocrinology, diabetes & metabolism providers in Mississippi →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| JardianceEmpagliflozin | 128 | $110,613 |
| OzempicSemaglutide | 67 | $101,723 |
| Tresiba Flextouch U-100Insulin Degludec | 61 | $42,743 |
| Tresiba Flextouch U-200Insulin Degludec | 30 | $38,085 |
| MounjaroTirzepatide | 33 | $33,681 |
| FarxigaDapagliflozin Propanediol | 20 | $26,553 |
| RybelsusSemaglutide | 16 | $21,128 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 15 | $21,093 |
| Repatha SureclickEvolocumab | 16 | $19,145 |
| Praluent PenAlirocumab | 11 | $14,912 |
| SynthroidLevothyroxine Sodium | 212 | $13,768 |
| Testosterone | 103 | $13,359 |
| Cinacalcet Hcl | 75 | $12,238 |
| Levothyroxine Sodium | 1,418 | $12,121 |
| NexlizetBempedoic Acid/Ezetimibe | 28 | $11,229 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $1,445 | $122,85183 claims |
| Boehringer IngelheimJardiance | $641 | $110,613128 claims |
| Lilly USA, LLCMounjaro | $2,011 | $33,68133 claims |
| AstraZenecaFarxiga | $444 | $26,55320 claims |
| AbbVieSynthroid | $671 | $13,768212 claims |
| Esperion Therapeutics, Inc.Nexlizet | $122 | $11,22928 claims |
| PfizerPremarin, Levoxyl | $161 | $5,44129 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 70th percentile of 48 endocrinology, diabetes & metabolism providers in Mississippi.
Other endocrinology, diabetes & metabolism in Tupelo
- Christy OswaltTupelo$27K
- Leonil GanlimTupelo$19K
- Jayant DeyTupelo$1K
- Eric DyessJackson$885K
- Mark BorcheltGulfport$722K
- Honey EastJackson$721K
- Ben SealeJackson$623K
- Jeremy TaylorMadison$271K
- Amanda SchieferJackson$204K
- Delali BlavoSouthaven$148K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.