Mark William Shaffer, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD000585 Issued in GA

Practice address

513B Great Oaks Dr
Monroe, GA 30655-8211

Phone

(770) 267-9391

Fax

(770) 207-7196

NPI assigned

Jul 5, 2005

Last updated

Sep 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046
• Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Achilles Foot & Ankle Specialist

  • Foot & Ankle Surgery Podiatrist
  • Watkinsville, GA
  • NPI 1689868085
  Medicare reassignment NPD Authorized official
• Mark W. Shaffer, DPM

  • Durable Medical Equipment & Medical Supplies
  • Monroe, GA
  • NPI 1396923942
  Authorized official Same address or phone
• Comprehensive Foot & Ankle

  • Podiatric Clinic/Center
  • Lilburn, GA
  • NPI 1780871251

  Foot & Ankle Surgery

  NPD (past)
• Comprehensive Foot & Ankle, LLC

  • Podiatrist
  • Johns Creek, GA
  • NPI 1740450071
  NPD (past)
• Georgia Neurology, LLC

  • Medical Specialty Clinic/Center
  • Monroe, GA
  • NPI 1124239868
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Piedmont Athens Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1437186111
  Care Compare affiliation
• Piedmont Walton Hospital Inc

  • General Acute Care Hospital
  • Monroe, GA
  • NPI 1720589328
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1023015146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513B GREAT OAKS DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558211",
            "telephone_number": "770-267-9391",
            "fax_number": "770-207-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513B GREAT OAKS DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558211",
            "telephone_number": "770-267-9391",
            "fax_number": "770-207-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00401497C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00401497B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy G Sargent, FNP-C
• Kelly Sartain, PT, DPT
• Melissa Lynn Scaparo, APRN
• John Cleburn Schraub, D.C.
• Seydoc, Inc
• Amanda Shannon
• Micah Shaw, D.M.D.
• Shirley Harden Merritt (Elderly and Independent)
• Sylvie M Shiwiri
• Danny Shoemake, LAPC

• Foot & Ankle Surgery Podiatrist in Monroe, GA
• Providers in Monroe, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.