Shane A. Wilson
Dentist · Gravois Mills, MO
Shane A. Wilson is a dentist with a practice address in Gravois Mills, Missouri, and NPI 1780334664, issued on Mar 24, 2022. Check the license (Missouri 2022019208, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shane A. Wilson
- Primary taxonomy
- Dentist 122300000X
- License number
- 2022019208 MO
Self-reported in NPPES; status is on the state search - Practice location
- 110 Watson Cir, Gravois Mills, MO 65037
- Phone
- (763) 528-5539
- Enumerated
- Mar 24, 2022
- Record last updated
- Jun 6, 2022
- Entity
- Type 1 · individual
8 nearest dentist records → All 1,647 in Missouri → Look up another NPI →
Verify Shane A. Wilson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Missouri board licenses this profession
Search for license 2022019208Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
98% more Medicare Part D claims than the average dentist in 2024
170 Medicare Part D claims for 140 beneficiaries, against an average of 86 among the 51,021 providers of this specialty who prescribed in Part D.
Most prescribed
- Amoxicillin133 claims
- Azithromycin16 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $38.54
1 payment: food and beverage; the largest payer was Align Technology, Inc. The 31,974 providers of this specialty with any payment received $540.36 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Shane A. Wilson among 1,647 dentist records in Missouri
Shane A. Wilson is one of 1,647 dentist records with a practice address in Missouri. 62% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 82% of them.
- NPI issued2022 · 82% of these records are older, 15% newer
- In a Medicare fileYes · 62% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2022 · 66% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2 dentist records list a practice address in Gravois Mills
They are 2 of the 16 NPPES records with a practice address in Gravois Mills, and 1,647 dentist records in Missouri.
All 1,647 in Missouri → Every provider in Gravois Mills → Dentist nationwide →
The 8 dentist records with the nearest ZIP codes
- Freddie Ramos, DMDGravois Mills, MO 650371336121615
- Kenneth Wehrenberg, DMD MSHermann, MO 650411063537207
- John Gambill, DDSEldon, MO 650261124146410
- Philip Austin, D.M.D.Linn Creek, MO 650521730597774
- Matthew Connell, D.D.SCamdenton, MO 650201780032763
- Vincent Israel, DMDCamdenton, MO 650201154981975
- Thomas Kennedy, DDSCamdenton, MO 650201831370683
- Deepthi MayaCamdenton, MO 650201083323406
Common questions
What is Shane A. Wilson's NPI number?
Shane A. Wilson's National Provider Identifier (NPI) is 1780334664, issued on Mar 24, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Shane A. Wilson located?
The NPPES record lists a practice address at 110 Watson Cir, Gravois Mills, MO, 65037. Phone: (763) 528-5539. Providers update this record themselves, so call before visiting.
How can I verify Shane A. Wilson's license?
NPPES lists Missouri license number 2022019208, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.
How much does Shane A. Wilson prescribe under Medicare Part D?
In 2024, Shane A. Wilson had 170 Medicare Part D claims for 140 beneficiaries; the average among dentist prescribers was 86. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.