NPIMap

Individual provider Active NPI

Shadley C Schiffern, MD

  • Orthopaedic Surgery Physician
  • Charlotte, NC
National Provider Identifier
1649297441
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
200600805 Issued in NC
Practice address
1915 Randolph Rd
Suite 100
Charlotte, NC 28207-1101
Phone
(704) 323-2000
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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 200600805 NC Primary

Addresses

Primary practice location

1915 Randolph Rd
Suite 100
Charlotte, NC 28207-1101

Mailing address

4601 Park Rd
Ste 300
Charlotte, NC 28209-3239
Phone (704) 323-2000

Other identifiers 2

IdentifierTypeStateIssuer
NC1051MedicaidSC
5904714MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070313000641 NC Practitioner - Orthopedic Surgery 3577666437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Washington School of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
OrthocarolinaGroup PAC ID 2062316821, 288 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

10315 Hamptons Park Dr
Huntersville, NC 28078-7217
Phone (704) 323-2800

124 Welton Way
Mooresville, NC 28117-9163
Phone (704) 323-2276

170 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone (704) 323-2276

1915 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 323-2282

2001 Randolph Rd
Charlotte, NC 28207-1215
Phone (704) 332-2225

2001 Vail Ave
Suite 200
Charlotte, NC 28207-1219
Phone (704) 323-2000

214 18TH St SE
Hickory, NC 28602-1363
Phone (704) 323-2276

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

3367 N NC 16 Business Hwy
Denver, NC 28037-8265
Phone (419) 221-6717

354 Copperfield Blvd NE
Concord, NC 28025-2402
Phone (704) 323-2276

5935 Carnegie Blvd
Suite 104
Charlotte, NC 28209-4672
Phone (704) 323-2500

710 Park Ctr Dr
Matthews, NC 28105-5081
Phone (704) 323-3200

7482 Waterside Crossing Blvd
Suite 103
Denver, NC 28037-3006
Phone (704) 827-0598

870 Summit Crossing PL
Gastonia, NC 28054-2192
Phone (704) 867-2333

9848 N Tryon St
Charlotte, NC 28262-5512
Phone (704) 323-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200600805NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocarolina Orthopaedic Surgery CurrentSince Oct 1, 2009 Accepting new patients
Orthocarolina Orthopaedic Surgery Current Accepting new patients
Orthocarolina, PA Orthopaedic Surgery CurrentSince Oct 1, 2009 Accepting new patients
Carolinas Medical Center CurrentSince Aug 5, 2012 Accepting new patients
Carolinas Medical Center CurrentSince Aug 5, 2012 Accepting new patients

Locations

5935 Carnegie Blvd
Ste 200
Charlotte, NC 28209

1915 Randolph Rd
Ste 100
Charlotte, NC 28207

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

354 Copperfield Blvd NE
Concord, NC 28025
Phone (704) 262-4181

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1649297441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD",
            "address_2": "STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093239",
            "telephone_number": "704-323-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 RANDOLPH RD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071101",
            "telephone_number": "704-323-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFFERN",
        "first_name": "SHADLEY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "200600805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1051",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904714",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.