Individual provider Active NPI

David A Schafer, MD

  • Orthopaedic Surgery Physician
  • Port St John, FL
National Provider Identifier
1558415083
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036112063 Issued in IL
Practice address
5005 Port St John Pkwy Ste 2200
Port St John, FL 32927-4305
Phone
(321) 433-2247
Fax
(847) 634-2900
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036112063 IL Primary

Addresses

Primary practice location

5005 Port St John Pkwy Ste 2200
Port St John, FL 32927-4305

Mailing address

5005 Port St John Pkwy Ste 2200
Port St John, FL 32927-4305
Phone (321) 433-2247

Other identifiers 1

IdentifierTypeStateIssuer
036112603MedicaidIL

Other names 1

  • Dr. David A Schafer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210910000908 FL Practitioner - Orthopedic Surgery 2466425491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Brevard Medical Support IncGroup PAC ID 7618870296, 62 clinicians

Practice addresses (Care Compare)

250 Harrison St
Titusville, FL 32780-5094
Phone (321) 268-6834

Hospital & facility affiliations

  • Parrish Home Health Home health agency, Titusville, FL, CCN 107488
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.26
Promoting interoperability
100
Improvement activities
40
Cost
78.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)28
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Brevard Medical Support, Inc CurrentSince Aug 8, 2021 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Aug 1, 2021 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Nov 10, 2024 Accepting new patients
Suburban Orthopaedics LTD Orthopaedic Surgery Past Accepting new patients
Kerlan-Jobe Orthopaedic Clinic Orthopaedic Surgery Past Accepting new patients
Levin Orthopedics, S.C. Orthopaedic Surgery PastSince Oct 1, 2008 Accepting new patients

Locations

5005 Port St John Pkwy
Ste 2100
Port St John, FL 32927
Phone (321) 268-6834

5005 Port St John Pkwy
Ste 2200
Port St John, FL 32927
Phone (321) 433-2247

250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

805 Century Medical Dr
Ste C
Titusville, FL 32796
Phone (321) 268-6264

Interoperability endpoints

  • Direct secure messaging: david.schafer.1@17832.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 2

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1558415083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 PORT ST JOHN PKWY STE 2200",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329274305",
            "telephone_number": "321-433-2247",
            "fax_number": "847-634-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 PORT ST JOHN PKWY STE 2200",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329274305",
            "telephone_number": "321-433-2247",
            "fax_number": "847-634-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036112063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036112603",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "SCHAFER",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port St John, FL

Sources for this page

Verify at the official NPI Registry.