Physician Profile
Based in La Junta, CO, Richard A. Shand, MD is listed in the NPI registry under internal medicine. According to Medicare claims data, Richard cared for 103 Medicare patients across 146 services. The services billed most often include insertion of needle into vein for collection of blood sample, telephone medical discussion with physician, 21-30 minutes, and urinalysis, manual test.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
111 W 2ND ST
La Junta, CO 81050
Within Internal Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Most searched conditions
Cardiometabolic
Digestive and liver
Endocrine, blood, and bone
Infectious disease
Kidney and urinary
Respiratory
Blood & Circulation
Blood disorders
Brain & Nerves
Brain and nerves
Cardiac and vascular
Digestive
Heart & Circulation
Infections
Kidney & Bladder
Lungs & Breathing
Mental Health
Neurologic and behavioral
Pain
Rheumatologic and pain
Most searched procedures
Preventive and evaluation
Screening and diagnostic testing
Bones & Joints
Brain and nerves
Cancer screening
Digestive
Exams & Consultations
Heart & Circulation
Heart health
Imaging referral
Immunizations
Lab tests
Lungs & Breathing
Metabolic & Weight
Minor procedures
Office procedures
Office Procedures
Pain management
Preventive & Routine Care
Screenings & Diagnostics
Sexual health
146 services · 103 patients · 5 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Insertion of needle into vein for collection of blood sample | Procedure | 36415 |
55 | Less often than most peers in Internal Medicine |
| Telephone medical discussion with physician, 21-30 minutes | Office visit | 99443 |
26 | As often as other peers in Internal Medicine |
| Urinalysis, manual test | Lab test | 81002 |
23 | As often as other peers in Internal Medicine |
| Telephone medical discussion with physician, 11-20 minutes | Office visit | 99442 |
22 | As often as other peers in Internal Medicine |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | Office visit | 99211 |
20 | Less often than most peers in Internal Medicine |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Shand is an internist in La Junta, CO. That is the designation recorded for this NPI in the federal registry, where it is listed as “Internal Medicine”.
NPI registry
Dr. Shand is listed at 111 W 2Nd St, La Junta, CO 81050. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (719) 384-2771. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Dr. Shand's National Provider Identifier is 1497804520. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Shand attended Other, graduating in 1974. This comes from the CMS National Downloadable File.
CMS public data
Dr. Shand has 52 years experience. Calculated from a graduation year of 1974, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Shand performs procedures including insertion of needle into vein for collection of blood sample, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Shand. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.