Michael Shaffer, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-093380 Issued in OH

Practice address

17853 State Route 31 Ste B
Marysville, OH 43040-8835

Phone

(937) 578-4004

NPI assigned

May 17, 2008

Last updated

Jun 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Family Practice

Education

Ohio State University College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union County Physician CorporationGroup PAC ID 1557419173, 105 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Marysville, OH, CCN 360092

Merit-based Incentive Payment System (MIPS)

Final score

83.33 of 100Reported as group

Quality

68.93

Promoting interoperability

100

Improvement activities

40

Cost

75.49

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mshaffer191587@direct.osumc.edu

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.

• Union County Physician Corporation

  • Otolaryngology Physician
  • Marysville, OH
  • NPI 1992941108
  Medicare reassignment Care Compare group NPD
• Union County Physician Corporation

  • Occupational Medicine Physician
  • Marysville, OH
  • NPI 1497300172
  NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Ross Emergency Group PC, Inc

  • Emergency Medicine Physician
  • Chillicothe, OH
  • NPI 1962796177
  NPD (past)

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

• Memorial Hospital of Union County

  dba Memorial Hospital

  • General Acute Care Hospital
  • Marysville, OH
  • NPI 1720159338
  Care Compare affiliation

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

{
    "created_epoch": "1210982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1811154909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17853 STATE ROUTE 31 STE B",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408835",
            "telephone_number": "937-578-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17853 STATE ROUTE 31 STE B",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408835",
            "telephone_number": "937-578-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-17",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-093380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3097983",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tesla Skye Seebach, QMHS BACHELORS
• Brian S Seifferth, MD
• Ermias Seleshi, MD, MPH
• Seravision Inc.
• Serendipity Counseling Center
• Shimul Y Shah, O.D.
• Stephanie Renee Shampel, FNP- BC
• Jerome Shapiro
• Angela Kay Sharp, RN
• Tamra Sharp

• Family Medicine Physician in Marysville, OH
• Providers in Marysville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.

Verify at the official NPI Registry.