Active NPI
Jacob Steven Schaeffer, MD
- Surgery Physician
- Watertown, SD
National Provider Identifier
1790077022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9864
- Practice address
- 401 9TH Ave NW
Watertown, SD 57201-1548 - Phone
- (605) 882-7000
- NPI assigned
- May 4, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 9864 | SD | Primary |
Addresses
Primary practice location
401 9TH Ave NW
Watertown, SD 57201-1548
Mailing address
401 9TH Ave NW
Watertown, SD 57201-1548
Phone (605) 882-7000
Other practice location 1
1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300 ext. 53349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, MN
- 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
- General Surgery
- Education
- Sanford School of Medicine of University of South Dakota, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Mickelson Dr
Watertown, SD 57201-7231
Phone (605) 882-4743
450 Eastvold Ave
Ortonville, MN 56278-1252
Phone (320) 839-6157
Hospital & facility affiliations
- Prairie Lakes Healthcare System, Inc
- Ortonville Area Health Services
- Milbank Area Hospital/Avera Health
- Coteau Des Prairies Health Care System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 99 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 89 |
| 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 |
|---|---|---|---|
| 9864 | SD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Lakes Health Care System Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Watertown, SD
- NPI 1396525143
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Milbank, SD
- NPI 1548272818
-
- Critical Access Hospital
- Sisseton, SD
- NPI 1417051517
-
- Critical Access Hospital
- Ortonville, MN
- NPI 1790783587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1790077022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 9TH AVE NW",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572011548",
"telephone_number": "605-882-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 9TH AVE NW",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572011548",
"telephone_number": "605-882-7000"
}
],
"practiceLocations": [
{
"address_1": "1836 South Ave",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546015429",
"country_code": "US",
"telephone_number": "608-782-7300 x53349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHAEFFER",
"first_name": "JACOB",
"middle_name": "STEVEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SD",
"license": "9864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.