Active NPI
Shawn Paul Stachler, D.O.
- Orthopaedic Surgery Physician
- Cookeville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 3419
- Practice address
- 105 S Willow Ave
Cookeville, TN 38501-4667 - Phone
- (931) 526-9518
- Fax
- (931) 372-0087
- NPI assigned
- Mar 15, 2013
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 3419 | TN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
105 S Willow Ave
Cookeville, TN 38501-4667
Mailing address
105 S Willow Ave
Cookeville, TN 38501-4667
Phone (765) 414-5079
Other practice location 1
20201 South Crawford Street
Attn: Postdoctoral Education
Olympia Fields, IL 60461
Phone (708) 747-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 W Spring St
Cookeville, TN 38501-3125
Phone (931) 526-9518
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.09 of 100
- Quality
- 50.47
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 67.33
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 11 |
| Knee replacement | 24 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3419 | TN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell Clinic PC | Current | Accepting new patients | |
| Campbell Clinic, PC | Orthopaedic Surgery | Current | Accepting new patients |
| Campbell Clinic | Past | Accepting new patients |
Locations
105 S Willow Ave
Ste 100
Cookeville, TN 38501
Phone (931) 267-4929
105 S Willow Ave
Cookeville, TN 38501
Phone (931) 372-7716
335 W Spring St
Cookeville, TN 38501
Phone (931) 303-0446
35 Taylor Ave
Crossville, TN 38555
Phone (865) 483-8478
1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111
Interoperability endpoints
- shawn.stachler.1@1366.direct.athenahealth.com
- sstachler@t1ortho.gwaydirect.com
- https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1003835141
-
- Durable Medical Equipment & Medical Supplies
- Carthage, TN
- NPI 1669366068
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Germantown, TN
- NPI 1588619944
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cookeville, TN
- NPI 1275531956
-
- General Acute Care Hospital
- Crossville, TN
- NPI 1871596403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536969600000",
"number": "1831430818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 S WILLOW AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385014667",
"telephone_number": "765-414-5079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S WILLOW AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385014667",
"telephone_number": "931-526-9518",
"fax_number": "931-372-0087"
}
],
"practiceLocations": [
{
"address_1": "20201 South Crawford Street",
"address_2": "Attn: Postdoctoral Education",
"address_purpose": "LOCATION",
"city": "Olympia Fields",
"state": "IL",
"postal_code": "60461",
"country_code": "US",
"telephone_number": "708-747-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STACHLER",
"first_name": "SHAWN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-15",
"last_updated": "2018-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "3419",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2018; 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.