NPIMap

Individual provider Active NPI

Ted C Schaffer, MD

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1639118219
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD024025E Issued in PA
Practice address
619 Mount Royal Blvd
Pittsburgh, PA 15223-1225
Phone
(412) 487-4422
Fax
(412) 487-7838
NPI assigned
Jun 6, 2006
Last updated
Aug 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD024025E PA Primary

Addresses

Primary practice location

619 Mount Royal Blvd
Pittsburgh, PA 15223-1225

Mailing address

619 Mount Royal Blvd
Pittsburgh, PA 15223-1225
Phone (412) 487-4422

Other identifiers 2

IdentifierTypeStateIssuer
0008457770001MedicaidPA
010457OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000751 PA Practitioner - Family PracticePractitioner - Sports MedicinePractitioner - Geriatric Medicine 8921902081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine, Sports Medicine
Education
Virginia Commonwealth University, School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

200 Delafield Rd
Pittsburgh, PA 15215-3214

5475 Penn Ave
Pittsburgh, PA 15206-3453
Phone (412) 361-7562

619 Mount Royal Blvd
Pittsburgh, PA 15223-1225
Phone (412) 487-4422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as group
Quality
84.53
Promoting interoperability
100
Improvement activities
40
Cost
75.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc Family Medicine CurrentSince Oct 14, 2013 Accepting new patients
Renaissance Family Practice-Upmc, Inc Family Medicine CurrentSince Oct 1, 2008 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Renaissance Family Practice-Upmc,Inc CurrentSince Oct 1, 2008 Accepting new patients
Upmc Community Medicine Inc Family Medicine CurrentSince Oct 14, 2013 Accepting new patients
Upmc St. Margaret Past Accepting new patients
Upmc St Margaret Past Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

301 11th St
New Kensington, PA 15068
Phone (724) 334-3640

301 11th St
Ste C
New Kensington, PA 15068
Phone (724) 334-3640

103 Gamma Dr
Ste 120
Pittsburgh, PA 15238
Phone (412) 781-1917

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Delafield Rd
Ste 2030
Pittsburgh, PA 15215
Phone (412) 782-2101

200 Delafield Rd
Ste 3010
Pittsburgh, PA 15215
Phone (412) 781-1832

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

3937 Butler St
Pittsburgh, PA 15201
Phone (412) 621-8235

619 Mount Royal Blvd
Pittsburgh, PA 15223
Phone (412) 487-4422

Interoperability endpoints

  • Direct secure messaging: ted.c.schaffer@upmcdirect.com

Organizations & group practices 7

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.

Hospital & facility affiliations 11

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1639118219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 MOUNT ROYAL BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152231225",
            "telephone_number": "412-487-4422",
            "fax_number": "412-487-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 MOUNT ROYAL BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152231225",
            "telephone_number": "412-487-4422",
            "fax_number": "412-487-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "TED",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD024025E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008457770001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "010457",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.