KYLE SHEPPERSON (MD) – Orthopaedic Surgery Physician, NPI 1407831704
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
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Provider Addresses for KYLE SHEPPERSON (MD)
6810, State Route 162, Maryville, Madison County, Illinois, 62062, United States
SUITE 10
MARYVILLE, IL 62062
Phone: (618) 288-2020
Fax: (618) 288-7983
Type: Location
6810 STATE ROUTE 162 BOX 215
MARYVILLE, IL 620628501
Phone: (618) 391-6405
Fax: (618) 288-4088
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $5,298.
Total Amount is formed as General ($5,298) + Research ($0) + Ownership ($0) = $5,298.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: MEDACTA USA, INC. ($2,226).
Total Amount
$5,298
General + Research + Ownership
Payments
46
Total payment records
General Amount
$5,298
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MEDACTA USA, INC. | $2,226 |
| Shoulder Innovations, Inc. | $805 |
| Stryker Corporation | $660 |
| Elite Orthopedics, LLC | $526 |
| Arthrex, Inc. | $448 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041104001093 | I | Orthopedic Surgery | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 270 | 106 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 263 | 179 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 167 | 117 | $0 |
| 73564 | X-ray of knee, 4 or more views | 147 | 131 | $0 |
| 73562 | X-ray of knee, 3 views | 109 | 65 | $0 |
Insurance plans in this area (ZIP 62062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| General Surgery | IL | |
| - | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| General Surgery | IL | |
| - | IL | |
| Family Practice | MO | |
| Family Practice | IL |
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