Physician

Kristie K Shappell, MD

According to 2025 Medicare claims, Kristie Shappell, MD (NPI: 1013911981) practices ophthalmology in the La Crosse-Onalaska, WI-MN market, with the plurality of this provider's patient population coming from La Crosse, WI. This provider's primary affiliated billing organization is GUNDERSEN LUTHERAN MEDICAL CENTER INC (NPI: 1376593442; TIN: 390813416) and primary practice location at 54601-5447. Shappell is affiliated with the Gundersen ACO (ACO ID: A5094), participating under the MSSP model.

Shappell's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 597 traditional Medicare patients, billed 7,905 HCPCS/CPT codes, and received $386,983 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 842 prescription claims across 173 beneficiaries totaling $32,343 in drug costs, led by Restasis (Cyclosporine). 2023 DME data shows 12 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have fallen sharply in recent years, from $84,099 to $32,343. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	766	3,563	$455,509
2016	751	3,507	$450,234
2017	741	3,559	$528,118
2018	996	4,724	$599,039
2019	885	4,178	$492,263
2020	753	3,916	$409,032
2021	752	4,119	$447,198
2022	754	3,983	$429,937
2023	677	4,613	$447,096
2024	597	7,905	$386,983

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	415	1,632	$84,099
2016	345	1,528	$76,127
2017	347	1,511	$65,614
2018	398	1,690	$73,867
2019	406	1,642	$79,972
2020	243	901	$49,676
2021	175	812	$64,477
2022	164	834	$40,858
2023	159	798	$28,307
2024	173	842	$32,343

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	28	28	$1,893
2016	27	27	$1,501
2017	30	30	$1,816
2018	40	40	$2,738
2019	37	37	$2,616
2020	16	16	$723
2021	30	30	$2,046
2022	N/R	N/R	N/R
2023	12	12	$685
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
67028	Injection of drug into eye	251	891	$77
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	186	212	$72
92136	Measurement of corneal curvature and depth of eye	188	378	$21
92134	Imaging of retina	237	709	$18
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	190	287	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Restasis	Cyclosporine	12	360	$7,457
Latanoprost	Latanoprost	368	14,103	$4,707
Prednisolone Acetate	Prednisolone Acetate	41	1,375	$2,904
Dorzolamide-Timolol	Dorzolamide Hcl/Timolol Maleat	146	8,933	$2,705
Timolol Maleate	Timolol Maleate	50	2,228	$1,926

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Kristie K. Shappell, MD?

Tedicare shows public-source Medicare data for Kristie K. Shappell, MD (NPI 1013911981), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Kristie K. Shappell, MD have ACO affiliation data?

Kristie K. Shappell, MD is shown with ACO affiliation data for Gundersen ACO (MSSP, ACO ID A5094).

What billing organization is linked to Kristie K. Shappell, MD?

Kristie K. Shappell, MD is linked to GUNDERSEN LUTHERAN MEDICAL CENTER INC (billing NPI 1376593442) in the available physician profile data.

Does Kristie K. Shappell, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.