Active NPI 1407831704 Individual Practitioner Male Practitioner

Dr. Kyle Shepperson , MD

Orthopaedic Surgery • Maryville, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Shepperson, MD is a certified Orthopaedic Surgery practicing in Maryville, IL. With approximately 28 years of clinical experience since graduating from Mayo Medical School in 1998, Dr. Shepperson delivers high-quality medical care to the local community at 6810 STATE ROUTE 162.

Dr. Shepperson is affiliated with Anderson Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6810 State Route 162
Suite 10

Maryville, IL 62062

Telephone 6182882020

Fax 6182887983

Associated Practice Facility / Clinic

🏢 Mark Edelstein, Md, Pc Facility NPI 1548232234

Medicare Profile & Education

Medical School

Mayo Medical School

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Maryville, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs -0.5 yrs vs City Avg

City Avg: 28.5 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Maryville, IL (1064 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shepperson (28 Years) 28 Yrs

Maryville Specialty Average (28.5 Years) 28.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	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
73564 X-ray of knee, 4 or more views	46	42	$104.76	$52.01
73562 X-ray of knee, 3 views	46	40	$90.41	$39.45
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
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
23472 Prosthetic repair of shoulder joint, total shoulder	15	15	$4003.00	$1412.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	270	106	$21.30	$1.07
99213 Established patient office or other outpatient visit, typically 15 minutes	263	179	$185.00	$88.90
20610 Aspiration and/or injection of fluid from large joint	167	117	$219.17	$72.38
73564 X-ray of knee, 4 or more views	147	131	$112.39	$62.48
73562 X-ray of knee, 3 views	109	65	$89.52	$40.25
73030 X-ray of shoulder, minimum of 2 views	104	67	$79.68	$35.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	89	$273.00	$125.20
73502 X-ray of hip, 2-3 views	85	63	$110.02	$44.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$277.00	$112.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	43	$111.00	$54.86
27447 Replacement of knee joint, both sides of knee	38	35	$3770.00	$1351.90
J1040 Injection, methylprednisolone acetate, 80 mg	31	22	$45.00	$11.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$423.00	$167.16
73560 X-ray of knee, 1-2 views	19	18	$77.00	$33.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$358.00	$132.58
73110 X-ray of wrist, minimum of 3 views	18	14	$89.12	$41.63
23472 Prosthetic repair of shoulder joint, total shoulder	12	12	$4003.00	$1518.73
73130 X-ray of hand, minimum of 3 views	11	11	$79.00	$33.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	289	122	$17.49	$1.15
99213 Established patient office or other outpatient visit, typically 15 minutes	227	164	$185.00	$90.32
20610 Aspiration and/or injection of fluid from large joint	186	125	$210.17	$74.46
73564 X-ray of knee, 4 or more views	161	142	$106.89	$61.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	95	$271.78	$126.14
73502 X-ray of hip, 2-3 views	94	66	$102.00	$45.78
73562 X-ray of knee, 3 views	87	52	$89.91	$41.64
73030 X-ray of shoulder, minimum of 2 views	82	67	$80.67	$36.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$277.00	$113.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$423.00	$169.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	37	$107.83	$56.37
27447 Replacement of knee joint, both sides of knee	32	30	$3770.00	$1321.81
J1040 Injection, methylprednisolone acetate, 80 mg	30	21	$45.00	$11.26
73130 X-ray of hand, minimum of 3 views	14	13	$86.01	$41.27
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	13	11	$241.00	$101.44
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$3724.00	$1365.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	366	123	$9.22	$1.30
20610 Aspiration and/or injection of fluid from large joint	167	125	$175.14	$77.24
99213 Established patient office or other outpatient visit, typically 15 minutes	163	125	$185.00	$92.50
73564 X-ray of knee, 4 or more views	123	110	$107.61	$61.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	95	$273.00	$129.99
73030 X-ray of shoulder, minimum of 2 views	104	75	$79.68	$35.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$277.00	$113.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$423.00	$172.42
73562 X-ray of knee, 3 views	57	35	$88.00	$40.67
73502 X-ray of hip, 2-3 views	54	46	$102.00	$46.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	45	$111.00	$56.66
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	23	20	$241.22	$106.55
J1040 Injection, methylprednisolone acetate, 80 mg	22	12	$45.00	$10.64
27447 Replacement of knee joint, both sides of knee	13	12	$3770.00	$1392.49
73521 X-ray of both hips, 2 views	11	11	$97.00	$40.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	471	120	$7.64	$1.39
20610 Aspiration and/or injection of fluid from large joint	200	125	$172.53	$73.52
99213 Established patient office or other outpatient visit, typically 15 minutes	144	117	$185.00	$75.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	112	$273.00	$110.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$277.00	$107.59
73564 X-ray of knee, 4 or more views	133	114	$98.94	$51.65
73562 X-ray of knee, 3 views	97	56	$88.00	$38.54
73030 X-ray of shoulder, minimum of 2 views	85	59	$78.52	$35.50
73502 X-ray of hip, 2-3 views	61	46	$102.00	$43.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	36	$111.00	$45.38
73110 X-ray of wrist, minimum of 3 views	36	14	$86.00	$38.42
J1040 Injection, methylprednisolone acetate, 80 mg	31	19	$45.00	$10.88
27447 Replacement of knee joint, both sides of knee	16	16	$3770.00	$1503.86
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	14	11	$241.00	$93.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	221	129	$160.36	$68.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	205	167	$273.00	$107.47
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	190	109	$19.26	$1.57
99213 Established patient office or other outpatient visit, typically 15 minutes	185	132	$185.00	$73.96
73564 X-ray of knee, 4 or more views	151	120	$97.42	$39.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	135	135	$277.00	$107.70
73030 X-ray of shoulder, minimum of 2 views	130	80	$73.62	$29.38
73562 X-ray of knee, 3 views	108	63	$87.76	$36.03
73502 X-ray of hip, 2-3 views	85	57	$101.88	$41.48
J1040 Injection, methylprednisolone acetate, 80 mg	71	41	$45.00	$12.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	26	$111.00	$44.65
27447 Replacement of knee joint, both sides of knee	24	23	$3720.00	$1471.34
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	23	17	$236.43	$98.12
73110 X-ray of wrist, minimum of 3 views	18	12	$86.00	$35.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$271.00	$106.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	263	161	$177.81	$67.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	243	183	$201.68	$103.49
99213 Established patient office or other outpatient visit, typically 15 minutes	209	157	$135.07	$69.97
73564 X-ray of knee, 4 or more views	190	153	$94.17	$37.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	170	117	$14.98	$1.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	154	154	$192.83	$105.74
J1040 Injection, methylprednisolone acetate, 80 mg	144	84	$37.40	$13.00
73030 X-ray of shoulder, minimum of 2 views	141	90	$75.71	$27.60
73502 X-ray of hip, 2-3 views	106	69	$99.07	$38.12
73562 X-ray of knee, 3 views	101	68	$84.40	$33.50
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	51	12	$318.12	$144.29
27447 Replacement of knee joint, both sides of knee	25	24	$3754.00	$1419.68
73610 X-ray of ankle, minimum of 3 views	21	13	$74.67	$28.63
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	19	16	$238.37	$89.80
73560 X-ray of knee, 1-2 views	16	14	$71.17	$29.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$83.40	$39.96
73110 X-ray of wrist, minimum of 3 views	13	11	$83.46	$31.08
73080 X-ray of elbow, minimum of 3 views	13	11	$79.15	$29.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$312.00	$201.79
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$3886.19	$1523.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	208	$134.73	$106.28
J1040 Injection, methylprednisolone acetate, 80 mg	250	137	$35.96	$11.03
20610 Aspiration and/or injection of fluid from large joint	239	132	$199.49	$67.84
99213 Established patient office or other outpatient visit, typically 15 minutes	199	142	$94.28	$71.87
73564 X-ray of knee, 4 or more views	177	127	$93.77	$39.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	132	132	$139.68	$108.34
73030 X-ray of shoulder, minimum of 2 views	124	80	$78.63	$28.17
73562 X-ray of knee, 3 views	117	70	$81.00	$34.28
73502 X-ray of hip, 2-3 views	100	59	$100.00	$39.66
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	81	16	$312.89	$151.72
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	32	19	$306.52	$106.22
27447 Replacement of knee joint, both sides of knee	25	24	$3770.00	$1454.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$320.00	$207.28
73130 X-ray of hand, minimum of 3 views	19	12	$73.00	$32.92
29827 Repair of shoulder rotator cuff using an endoscope	14	14	$2869.00	$1119.29
73110 X-ray of wrist, minimum of 3 views	14	12	$75.00	$34.08
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$1618.00	$194.03
23472 Prosthetic repair of shoulder joint, total shoulder	13	13	$4003.00	$1571.77
73560 X-ray of knee, 1-2 views	12	11	$71.00	$29.81
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$3508.00	$1467.08

Medical Specialties & State Licenses

CMS Verified: 2020-03-17

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036108702 (IL)

Hospital & Practice Group Affiliations

Anderson Medical Group Llc

6810 State Route 162, Maryville, IL 620628501

Phone: 6182885711

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Samantha Pisarski , PA-C

Physician Assistant - Surgical

NPI 1457975153

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

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)

✅

NPI Profile Active January 14, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 14, 2013

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

📍

Updated Business Mailing Address January 14, 2013

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

👤

Provider Name / Credentials Updated January 14, 2013

Recorded as KYLE SHEPPERSON, MD

🎓

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

Orthopaedic Surgery (License #036108702 in IL)

🟢

Initial NPI Registration & Enumeration December 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Update or Correct Profile

Mailing Address

6810 State Route 162 Box 215

Maryville, IL 620628501

Phone: 6183916405

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.