Doctor profile · Federal record
Dr. Shane Wilson, DO
Internal Medicine Physician (CMS: Internal Medicine) · Memphis, MO
- NPI 1477808467
- Accepts Medicare
- 14 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
450 E Sigler Ave, Ste A
Memphis, MO 635551726
(660) 465-2828
fax (660) 465-2956
Credentials & registration
- NPI registered
- July 2012 — 14 yrs on file
- Profile last updated
- October 8, 2015
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Missouri #2014026613
- Medicaid
- MO #1477808467
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1477808467. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
14
Distinct HCPCS
1
Medicare allowed
$133
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
83036 |
Hemoglobin a1c level | 14 | 13 | $10 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 14. This provider delivers 1.0× the peer median.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 1 | $17.19 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,492
Patients
617
Total drug cost
$32,674
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 296 | 78 | $3,763 |
| Lisinopril | Generic | 261 | 68 | $3,053 |
| Levothyroxine Sodium | Generic | 203 | 54 | $2,405 |
| Losartan Potassium | Generic | 193 | 45 | $2,474 |
| Amlodipine Besylate | Generic | 187 | 47 | $1,665 |
| Omeprazole | Generic | 186 | 42 | $2,390 |
| Furosemide | Generic | 180 | 48 | $706 |
| Metoprolol Succinate | Generic | 168 | 34 | $2,360 |
| Gabapentin | Generic | 143 | 35 | $2,901 |
| Pantoprazole Sodium | Generic | 123 | 29 | $1,550 |
Hospital affiliations
Frequently asked questions
What is Dr. Shane Wilson's medical specialty?
Dr. Shane Wilson practices Internal Medicine Physician in Memphis, MO.
Where does Dr. Shane Wilson practice?
Dr. Shane Wilson practices at 450 E Sigler Ave, Memphis, MO 635551726. Office phone: 6604652828.
What is Dr. Shane Wilson's NPI?
Dr. Shane Wilson's National Provider Identifier (NPI) is 1477808467, issued by NPPES.
Does Dr. Shane Wilson accept Medicare assignment?
Yes. Dr. Shane Wilson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shane Wilson commonly perform?
Top Medicare-reported procedures in 2023: Hemoglobin a1c level (HCPCS 83036). Source: CMS Medicare Physician & Other Practitioners file.