Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle Shepperson, MD

Individual provider Orthopaedic Surgery Physician · NPI 1407831704

Kyle Shepperson, MD is an Orthopedic Surgery in Maryville, Illinois. Graduated from Mayo Medical School in 1998, 28 years ago. Practices with Anderson Medical Group LLC, a 139-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
28
Trained at
Mayo Medical School
Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6810 State Route 162 Ste 10
Maryville, IL 62062
Phone: (618) 288-2020
Fax: (618) 288-7983
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 036108702 (IL)

Record details

NPI number1407831704
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 8, 2005
Last updated in NPPESMarch 17, 2020
Certification dateMarch 17, 2020
Mailing address6810 State Route 162 Box 215, Maryville, IL 62062-8501

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolMAYO MEDICAL SCHOOL
Graduated 1998 (28 years in practice)
Group practice Anderson Medical Group Llc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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