Kyle Shepperson, MD - Medicare Orthopedic Surgery in Maryville, IL

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Kyle Shepperson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Maryville, Illinois. He went to Mayo Medical School and graduated in 1998 and has 26 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Legacy Healthcare Services Inc, Anderson Medical Group Llc and his current practice location is 6810 State Route 162, Suite 10, Maryville, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 288-2020.

Kyle Shepperson is licensed to practice in Illinois (license number 036108702) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407831704.

Contact Information

Kyle Shepperson, MD
6810 State Route 162, Suite 10,
Maryville, IL 62062
(618) 288-2020
(618) 288-7983

Map and Direction




Physician's Profile

Full NameKyle Shepperson
GenderMale
SpecialityOrthopedic Surgery
Experience26 Years
Location6810 State Route 162, Maryville, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kyle Shepperson attended and graduated from Mayo Medical School in 1998
  NPI Data:
  • NPI Number: 1407831704
  • Provider Enumeration Date: 12/08/2005
  • Last Update Date: 03/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5395708911
  • Enrollment ID: I20041104001093

Medical Identifiers

Medical identifiers for Kyle Shepperson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407831704NPI-NPPES
036108702MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 036108702 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Anderson Home Health ServicesMaryville, ILHome health agency
Anderson HospitalMaryville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397223341
Anderson Medical Group Llc5193792018122

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kyle Shepperson allows following entities to bill medicare on his behalf.
Entity NameAnderson Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700807716
PECOS PAC ID: 5193792018
Enrollment ID: O20040910001137

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Shepperson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kyle Shepperson, MD
6810 State Route 162 Box 215,
Maryville, IL 62062-8501

Ph: (618) 391-6405		Kyle Shepperson, MD
6810 State Route 162, Suite 10,
Maryville, IL 62062

Ph: (618) 288-2020

Reviews and Comments


Orthopaedic Surgery Doctors in Maryville, IL

Dr. Brett R Grebing, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 6812 State Route 162, Suite 123, Maryville, IL 62062
Phone: 618-288-9460    Fax: 618-288-9461

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.