Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Kyle Shepperson , MD

Orthopaedic Surgery • Maryville, IL

Active NPI 1407831704 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

6810 State Route 162, Suite 10
Maryville, IL 62062

Call 6182882020 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6810 State Route 162
Suite 10

Maryville, IL 62062

Telephone 6182882020
Fax 6182887983
Organization at the Same NPPES Address or Phone
Mark Edelstein, Md, Pc Facility NPI 1548232234

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Anderson Medical Group Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Mayo Medical School

Graduation Year

1998

Medicare patients

385 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $171,859 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $130,325 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

190 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,432 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $3,827.85 across 19 records.

By nature of payment

  • Travel and Lodging: $2,565.83 across 7 records.
  • Food and Beverage: $1,238.17 across 11 records.
  • Gift: $23.85 across 1 record.

Reporting-company totals (3 largest of 6)

  • Shoulder Innovations, Inc.: $2,016.90 across 4 records.
  • Medacta USA, Inc.: $1,268.69 across 9 records.
  • Stryker Corporation: $195.49 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

28 years (graduated 1998)

CMS Doctors and Clinicians data list 1998 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Shepperson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Shepperson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Maryville and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Orthopaedic Surgery in Illinois (2024, 507 clinicians with data). Median for this group: 1,621. Middle half: 500 to 4,448.

Too few clinicians listed under Orthopaedic Surgery in Maryville have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 65% of clinicians listed under Orthopaedic Surgery in Illinois (2024, 507 clinicians with data). Median for this group: $106,401. Middle half: $38,278 to $219,003.

Too few clinicians listed under Orthopaedic Surgery in Maryville have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Orthopaedic Surgery in Illinois (2024, 507 clinicians with data). Median for this group: $80,480. Middle half: $28,943 to $165,509.

Too few clinicians listed under Orthopaedic Surgery in Maryville have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Orthopaedic Surgery in Illinois (2024, 513 clinicians with data). Median for this group: 181. Middle half: 65 to 405.

Too few clinicians listed under Orthopaedic Surgery in Maryville have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Orthopaedic Surgery in Illinois (2024, 513 clinicians with data). Median for this group: $1,214. Middle half: $335 to $3,174.

Too few clinicians listed under Orthopaedic Surgery in Maryville have Medicare Part D data for 2024 to compare.

2 active clinicians are listed under Orthopaedic Surgery with a practice address in Maryville, IL (997 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 19 records totaling $3,827.85.

Manufacturer Payment Nature Product Type Amount ($)
Shoulder Innovations, Inc.
Travel and Lodging
Cash or cash equivalent
InSet System General $913.72
Medacta USA, Inc.
Travel and Lodging
Cash or cash equivalent
AMIStem General $786.03
Shoulder Innovations, Inc.
Travel and Lodging
Cash or cash equivalent
InSet System General $556.65
Shoulder Innovations, Inc.
Food and Beverage
Cash or cash equivalent
InSet System General $522.68
Medacta USA, Inc.
Travel and Lodging
Cash or cash equivalent
AMIStem General $230.52
Stryker Corporation
Food and Beverage
In-kind items and services
BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION General $163.75
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
Bioinductive Implant with Arthroscopic Delivery System - Medium General $149.97
restor3d, inc.
Food and Beverage
Cash or cash equivalent
— General $131.40
Medacta USA, Inc.
Food and Beverage
Cash or cash equivalent
GMK Sphere General $117.50
ACUMED LLC
Food and Beverage
In-kind items and services
Acumed General $65.40
Medacta USA, Inc.
Travel and Lodging
Cash or cash equivalent
AMIStem General $35.00
Medacta USA, Inc.
Travel and Lodging
Cash or cash equivalent
AMIStem General $35.00
Medacta USA, Inc.
Food and Beverage
Cash or cash equivalent
GMK Sphere General $34.64
Shoulder Innovations, Inc.
Gift
Cash or cash equivalent
InSet System General $23.85
Stryker Corporation
Food and Beverage
In-kind items and services
AEQUALIS PERFORM REVERSED General $22.01
Medacta USA, Inc.
Food and Beverage
Cash or cash equivalent
GMK Sphere General $11.85
Stryker Corporation
Food and Beverage
In-kind items and services
MAKO General $9.73
Medacta USA, Inc.
Food and Beverage
Cash or cash equivalent
GMK Sphere General $9.24
Medacta USA, Inc.
Travel and Lodging
Cash or cash equivalent
GMK Revision General $8.91

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
306 216 $185.00 $86.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
303 117 $21.30 $0.96
20610 Aspiration and/or injection of fluid from large joint
163 110 $210.42 $68.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
108 93 $273.00 $121.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
56 56 $277.00 $104.89
73030 X-ray of shoulder, minimum of 2 views
51 45 $79.72 $33.44
73562 X-ray of knee, 3 views
46 40 $90.41 $39.45
73564 X-ray of knee, 4 or more views
46 42 $104.76 $52.01
27447 Replacement of knee joint, both sides of knee
43 38 $3770.00 $1300.16
73502 X-ray of hip, 2-3 views
40 31 $113.60 $44.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
33 33 $423.00 $159.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
33 30 $111.00 $54.02
27130 Replacement of thigh bone and hip joint with prosthesis
16 15 $3724.00 $1322.09
23472 Prosthetic repair of shoulder joint, total shoulder
15 15 $4003.00 $1412.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
15 15 $358.00 $129.92

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 45 219 $300.31 37
Tramadol Hcl Tramadol Hcl 22 245 $59.05 17
Celecoxib Celecoxib 20 1,800 $878.66 —
Meloxicam Meloxicam 19 900 $56.49 —
Amoxicillin Amoxicillin 18 27 $18.06 13
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 15 86 $119.50 12

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-03-17
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

License # reported to NPPES IL 036108702

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
036108702 (IL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ORTHOPEDIC SURGERY

Medicare Enrollment ID

I20041104001093

Enrollment State Jurisdiction

IL

PECOS Control ID

5395708911

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Anderson Medical Group Llc

6810 State Route 162, Maryville, IL 620628501

Phone: 6182885711

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Samantha Pisarski , PA-C

Physician Assistant - Surgical

NPI 1457975153

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location March 17, 2020

Registered at 6810 STATE ROUTE 162, SUITE 10, MARYVILLE, IL 62062 (Tel: 6182882020)

📍
Updated Business Mailing Address March 17, 2020

Registered at 6810 STATE ROUTE 162 BOX 215, MARYVILLE, IL 620628501 (Tel: 6183916405)

âś…
NPI Profile Active January 14, 2013

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) January 14, 2013

Registered at 6812 STATE ROUTE 162, SUITE 123, MARYVILLE, IL 620628553 (Tel: 6182882020)

📍
Business Mailing Address (Initial Record) January 14, 2013

Registered at 6812 STATE ROUTE 162, SUITE 123, MARYVILLE, IL 620628553 (Tel: 6182882020)

👤
Provider Name / Credentials (Initial Record) January 14, 2013

Recorded as KYLE SHEPPERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2013

Orthopaedic Surgery (license number reported to NPPES: IL 036108702)

🟢
Initial NPI Registration & Enumeration December 08, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407831704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2005
Last Update: March 17, 2020
Sole Proprietor: No

Mailing Address

6810 State Route 162 Box 215

Maryville, IL 620628501

Phone: 6183916405

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.