Active NPI
Bradley K Schaffer, MD
- Specialist
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 160955
- Practice address
- 123 Summer St
Suite 520
Worcester, MA 01608-3609 - Phone
- (508) 363-6363
- Fax
- (508) 363-6366
- NPI assigned
- May 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 160955 | MA | Primary |
Addresses
Primary practice location
123 Summer St
Suite 520
Worcester, MA 01608-3609
Mailing address
123 Summer St
Suite 520
Worcester, MA 01608-3609
Phone (508) 363-6363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0156019 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- Boston University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Summer St
Suite 550
Worcester, MA 01608-1216
Phone (508) 363-6868
55 Broadway
Bangor, ME 04401-5201
Phone (207) 947-5657
Hospital & facility affiliations
- St Vincent Hospital
- St Joseph Hospital
- Umass Memorial Health - Harrington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.3 of 100
- Quality
- 79.48
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 23 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160955 | MA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Upper Extremity and Plastic Surgery, PLLC | Specialist | Current | Accepting new patients |
| Bangor Plastic and Hand Surgery, P.a. | Current | Accepting new patients | |
| Reliant Medical Group, Inc | Past | Accepting new patients | |
| Paul a. Cournoyer D.P.M., P.C. | Past | Accepting new patients | |
| James M Shenko MD PC | Specialist | Past | Accepting new patients |
| Carol a. Barrette, M.D. P.C. | Specialist | Past | Accepting new patients |
Locations
123 Summer St
Ste 550
Worcester, MA 01608
Phone (508) 363-6868
55 Broadway
Bangor, ME 04401
Phone (207) 947-0469
55 Broadway
Ste 1
Bangor, ME 04401
Interoperability endpoints
- https://api.platform.athenahealth.com/12878/brand/2/csg/1/fhir/r4
- bradley.schaffer.1@12878.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Specialist
- Worcester, MA
- NPI 1811595440
-
- Surgery of the Hand (Plastic Surgery) Physician
- Bangor, ME
- NPI 1902987506
-
- Specialist
- Worcester, MA
- NPI 1861587057
-
- Specialist
- Worcester, MA
- NPI 1013964352
-
- Foot Surgery Podiatrist
- Worcester, MA
- NPI 1598779860
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southbridge, MA
- NPI 1790780047
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1508817834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"address_2": "SUITE 520",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016083609",
"telephone_number": "508-363-6363",
"fax_number": "508-363-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"address_2": "SUITE 520",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016083609",
"telephone_number": "508-363-6363",
"fax_number": "508-363-6366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFFER",
"first_name": "BRADLEY",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "160955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0156019",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.