Cameron Sherwood Schaeffer, MD

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

31252 Issued in KY

Practice address

1760 Nicholasville Rd Ste 601
Lexington, KY 40503-1474

Phone

(859) 275-5437

Fax

(859) 275-5434

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Cameron Sherwood Schaeffer Professional name

Medicare fee-for-service enrollment

Enrolled in KY, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Urology

Education

University of Virginia School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Dermatology of Kentucky LLCGroup PAC ID 5496166308, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: c.schaeffer@kentuckydermatology.emadirect.md

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

• Cameron S Schaeffer MD PSC

  • Pediatric Urology Physician
  • Lexington, KY
  • NPI 1508982166
  Medicare reassignment NPD Authorized official
• Modern Dermatology of Kentucky LLC

  • Dermatology Physician
  • Lexington, KY
  • NPI 1699382507

  Specialist

  Medicare reassignment Care Compare group NPD
• Ut Lebonheur Pediatric Specialists, Inc.

  • Pediatrics Physician
  • Memphis, TN
  • NPI 1093024101
  Medicare reassignment
• Kentucky Dermatology and Skin Cancer Clinic, PSC

  • Specialist
  • Lexington, KY
  • NPI 1831310390
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1386622363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 BURT RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032455",
            "telephone_number": "859-278-9242",
            "fax_number": "859-277-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 NICHOLASVILLE RD STE 601",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031474",
            "telephone_number": "859-275-5437",
            "fax_number": "859-275-5434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Childrens Way",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078426",
            "country_code": "US",
            "telephone_number": "904-697-3600",
            "fax_number": "904-697-3927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAEFFER",
        "first_name": "CAMERON",
        "middle_name": "SHERWOOD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2021-08-16",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "31252",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KY",
            "license": "31252",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "31252",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "FL",
            "license": "ME138780",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "KY",
            "license": "31252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "753019922",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101778900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64010481",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMERON",
            "last_name": "SCHAEFFER",
            "middle_name": "SHERWOOD",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Laure Ann Schadler, CNM
• Leigh Schaefer, RD, LD
• Lucy Schaefer, LMT
• Sarah Louise Schaefer, M.D.
• Sarah Marie Schaefer, PA-C
• Christine Schaeffer, MD
• Jennifer J. Wilson Schaeffer, PH.D.
• Meagan Schaeffner
• Eric Schafer, M.D.
• Luke Christopher Schafer, DO

• Pediatric Urology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Pediatric Urology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.