NPIMap

Individual provider Active NPI

Bryon Jon Schaeffer, M.D.

  • Family Medicine Physician
  • Clarinda, IA
National Provider Identifier
1174561476
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30681 Issued in IA
Practice address
220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone
(712) 542-8330
Fax
(712) 542-8397
NPI assigned
Jun 2, 2006
Last updated
May 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30681 IA Primary

Addresses

Primary practice location

220 Essie Davison Dr
Clarinda, IA 51632-2915

Mailing address

PO Box 217
Clarinda, IA 51632-0217
Phone (712) 542-8330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421001026 IA Practitioner - Family PracticePractitioner - Emergency Medicine 7113913633 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarinda Regional Health CenterGroup PAC ID 4587573993, shared by 5 NPIs, 46 clinicians

Practice addresses (Care Compare)

220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone (712) 542-2176

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.97 of 100Reported as apm
Quality
34.29
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clarinda Regional Health Center Current Accepting new patients
Knoxville Community Hospital Inc Family Medicine CurrentSince Apr 1, 2015 Accepting new patients
Clarinda Regional Health Center Family Medicine CurrentSince Mar 3, 2014 Accepting new patients
Knoxville Community Hospital Inc CurrentSince Apr 1, 2015 Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine Past Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients

Locations

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

1202 W Howard St
Knoxville, IA 50138
Phone (641) 828-7144

1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100

309 S 5th Ave
Villisca, IA 50864
Phone (712) 826-3003

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1174561476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516320217",
            "telephone_number": "712-542-8330",
            "fax_number": "712-542-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ESSIE DAVISON DR",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322915",
            "telephone_number": "712-542-8330",
            "fax_number": "712-542-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFFER",
        "first_name": "BRYON",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "30681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarinda, IA

Sources for this page

Verify at the official NPI Registry.