Individual provider Active NPI

Bradley K Schaffer, MD

  • Specialist
  • Worcester, MA
National Provider Identifier
1508817834
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
160955 Issued in MA
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

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0156019MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 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

Enrollment IDStateProvider typePAC IDDetails
I20050817000658 MA Practitioner - Hand SurgeryPractitioner - Plastic and Reconstructive Surgery 5395775597 Reassigns benefits to 1 organization
I20240606002982 ME Practitioner - Hand Surgery 5395775597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Plastic and Reconstructive Surgery
Education
Boston University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bangor Plastic and Hand Surgery, P.a.Group PAC ID 6901878974, 3 clinicians

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 Hospital, Worcester, MA, CCN 220176
  • St Joseph Hospital Hospital, Bangor, ME, CCN 200001
  • Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019

Merit-based Incentive Payment System (MIPS)

Final score
92.3 of 100Reported as individual
Quality
79.48
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)23
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
160955MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Upper Extremity and Plastic Surgery, PLLC Specialist CurrentSince Oct 1, 2020 Accepting new patients
Bangor Plastic and Hand Surgery, P.a. CurrentSince May 6, 2024 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

  • FHIR API: https://api.platform.athenahealth.com/12878/brand/2/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.