Active NPI
Michael D Shaffer, DO
- Family Medicine Physician
- Kerrville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L6627
- Practice address
- 1331 Bandera Hwy Ste 4
Kerrville, TX 78028-9535 - Phone
- (830) 258-7762
- NPI assigned
- Aug 19, 2005
- Last updated
- May 27, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L6627 | TX | Primary |
| Family Medicine Physician | 207Q00000X | 34-009337 | OH | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | L6627 | TX |
Addresses
Primary practice location
1331 Bandera Hwy Ste 4
Kerrville, TX 78028-9535
Mailing address
575 Hill Country Dr
Kerrville, TX 78028-6024
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167598508 | Medicaid | TX | |
| 90049 | Medicaid | NM | |
| A030 | Other | NM | TRIWEST |
| 139450101 | Other | TX | FIRSTCARE COMMERCIAL |
| 200036040A | Medicaid | OK | |
| 8JE232 | Other | TX | BCBSTX - WCCA |
| 167598506 | Medicaid | TX | |
| 90049 | Other | NM | PRESBYTERIAN COMMERCIAL |
| P01527361 | Other | TX | RAILROAD MEDICARE |
| 139450100 | Medicaid | TX | |
| 167598501 | Medicaid | TX | |
| 8FE660 | Other | TX | BCBS |
| 8M6326 | Other | TX | BCBS |
| 19229861 | Medicaid | NM | |
| 8M0733 | Other | TX | HMO BLUE |
| 2839254 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mshaffer1521402@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
208 Haley Rd
Johnson City, TX 78636-4617
Phone (830) 868-4033
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-009337 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Hospital Authority | Current | Accepting new patients | |
| Peterson Medical Associates | Family Medicine | Current | Accepting new patients |
Locations
97 Hitchin Post
Fredericksburg, TX 78624
Phone (830) 307-5002
1331 Bandera Hwy
Ste 4
Kerrville, TX 78028
Phone (830) 258-7762
551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414
575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237
Interoperability endpoints
- michael.shaffer.1@21041.direct.athenahealth.com
- michaelshaffer@wise.allscriptsdirect.net
- mshaffer1521402@direct.sw.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Marble Falls, TX
- NPI 1295397859
-
dba Wise Health System
- Skilled Nursing Facility
- Decatur, TX
- NPI 1124076401
-
- Obstetrics & Gynecology Physician
- Kerrville, TX
- NPI 1770800575
Family Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Seton Highland Lakes
- Critical Access Hospital
- Burnet, TX
- NPI 1003833013
-
dba Enhabit Home Health
- Home Health Agency
- Fredericksburg, TX
- NPI 1356679740
-
dba Methodist Healthcare Hill Country Healthcare at Home
- Home Health Agency
- Fredericksburg, TX
- NPI 1770284135
-
dba Methodist Hospital Hill Country
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
-
dba Baylor Scott & White Medical Center - Marble Falls
- General Acute Care Hospital
- Marble Falls, TX
- NPI 1396138970
-
dba Peterson Home Care
- Home Health Agency
- Kerrville, TX
- NPI 1073582656
-
dba Peterson Regional Medical Center
- Rural Acute Care Hospital
- Kerrville, TX
- NPI 1790782704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1417949983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 HILL COUNTRY DR",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780286024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 BANDERA HWY STE 4",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780289535",
"telephone_number": "830-258-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L6627",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34-009337",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "L6627",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167598508",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90049",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "A030",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE COMMERCIAL",
"identifier": "139450101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200036040A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX - WCCA",
"identifier": "8JE232",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167598506",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN COMMERCIAL",
"identifier": "90049",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01527361",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139450100",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167598501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8FE660",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8M6326",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19229861",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "8M0733",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2839254",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mshaffer1521402@direct.sw.org",
"affiliation": "N",
"address_1": "2401 S 31St St",
"city": "Temple",
"state": "TX",
"country_code": "US",
"postal_code": "765080001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.