Michael Shepherd
Physician Assistant · Round Rock, TXNPI 1194425009
Payments from drug & device makers
Across 32 payments — averaging $105.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axonics, Inc.$1K
- Core Surgical Group$817
- Arthrex$676
- Stryker$334
- Myriad Genetic Laboratories, Inc.$161
- Coloplast$75
- plus $169 from 7 others
What the payments were for
- Travel & lodging$1,90456%
- Food & beverage$1,48444%
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.
| Company | Payments | Total |
|---|---|---|
| Axonics, Inc. | 7 | $1,156 |
| Core Surgical Group | 3 | $817 |
| Arthrex | 7 | $676 |
| Stryker | 2 | $334 |
| Myriad Genetic Laboratories, Inc. | 1 | $161 |
| Coloplast | 4 | $75 |
| Boston Scientific | 2 | $67 |
| Ferring Pharmaceuticals Inc. | 1 | $22 |
| Convatec Inc. | 1 | $20 |
| Tolmar, Inc. | 1 | $16 |
| Immunitybio, Inc. | 1 | $16 |
| Antares Pharma, Inc. | 1 | $15 |
| Laborie Medical Technologies Corp. | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$3,387 in reported general payments places this provider in the 80th percentile of 8,308 physician assistant providers in Texas.
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 |
|---|---|---|
| MyrbetriqMirabegron | 39 | $22,768 |
| Tamsulosin Hcl | 266 | $6,200 |
| Testosterone | 41 | $4,811 |
| Trospium Chloride | 57 | $4,247 |
| Testosterone Cypionate | 51 | $2,578 |
| Finasteride | 64 | $1,618 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 49 | $1,263 |
| Solifenacin Succinate | 40 | $961 |
| Tadalafil | 18 | $338 |
| Cefdinir | 23 | $324 |
| Cephalexin | 31 | $234 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 12 | $135 |
| Doxycycline Hyclate | 11 | $100 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $88 |
| Ciprofloxacin Hcl | 17 | $84 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Round Rock
- Dustin FontenotRound Rock$47K
- Cynthia TrickettDallas$1.3M
- Kristine KuceraMelissa$797K
- Selina SantosAustin$543K
- Matthew BrunoMcKinney$538K
- Anthony DerenciusSan Antonio$507K
- Brooke HodnickSouthlake$479K
- Holly GloverArlington$418K
- Kirk GautierAthens$416K
- Jaime RomanPlano$338K
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.