KYLE SHEPPERSON MD – NPI #1407831704
Orthopaedic Surgery

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.

Health Care Provider Taxonomy Code for Orthopaedic Surgery

KYLE SHEPPERSON is an orthopaedic surgeon located in MARYVILLE, IL. NPPES has assigned the NPI number 1407831704 to KYLE SHEPPERSON on December 08, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was previously updated about 6 years ago on Mar 17, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KYLE SHEPPERSON below.

NPI Profile for
KYLE SHEPPERSON

NPI Number
1407831704
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KYLE SHEPPERSON
Credentials
MD
Primary location
6810 STATE ROUTE 162
SUITE 10
MARYVILLE, IL 62062
Phone: (618) 288-2020 Fax: (618) 288-7983
Mailing address
6810 STATE ROUTE 162 BOX 215
MARYVILLE, IL 62062-8501
Phone: (618) 391-6405 Fax: (618) 288-4088
Sole Proprietor
No
Updated
Certification Date
Mar 17, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KYLE SHEPPERSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036108702
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207X00000X
- Orthopaedic Surgery (Primary)		 IL 036108702

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MAYO MEDICAL SCHOOL - Graduated 1998
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KYLE SHEPPERSON is affiliated with the following medical group(s):
  • HOSPITAL
    • ANDERSON HOSPITAL
      6800 STATE ROUTE 162
      MARYVILLE, IL 62062
    • HSHS ST ELIZABETH'S HOSPITAL
      ONE ST ELIZABETH BOULEVARD
      O FALLON, IL 62269
  • INPATIENT REHABILITATION FACILITY
    • SSM HEALTH REHABILITATION HOSPITAL
      1027 BELLEVUE AVENUE
      RICHMOND HEIGHTS, MO 63117

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