DR. MARK WILLIAM SHAFFER DPM
NPI 1023015146
Podiatrist - Foot & Ankle Surgery in Monroe, GA

Active since July 05, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
513B GREAT OAKS DR, MONROE, GA 30655(770) 267-9391(770) 207-7196 Get Directions Write a Review

NPPES record last updated: September 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark William Shaffer Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK WILLIAM SHAFFER DPM (NPI 1023015146) is an individual foot & ankle surgery provider in Monroe, Georgia, licensed in Georgia (POD000585) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and is a graduate of Temple University School Of Medicine (1986).

NPPES Registry Identity

NPI1023015146
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. MARK WILLIAM SHAFFERCredential: DPM
Location Address513B GREAT OAKS DRMonroe, GA 30655-8211
Mailing Address513b Great Oaks DrMonroe, GA 30655-8211 · (770) 267-9391 · Fax (770) 207-7196
Fax(770) 207-7196
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 1986
Enumeration DateJuly 5, 2005
Last NPPES UpdateSeptember 20, 2010
NPI 1023015146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in GA · POD000585
513B GREAT OAKS DR, Monroe, GA 30655

Other Identifiers 6

Medicare UPINU09954GA
Medicare NSC1396923942GA
Medicare ID-Type Unspecified48SCBQDGA · Medicare # For Watkinsvil
Medicare PIN48SCBCDGA
Medicaid00401497BGA
Medicaid00401497CGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark William Shaffer Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507952231
PECOS Enrollment IDI20100707000527
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,134 services545 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
144 services144 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services51 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
48 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
14 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
513B GREAT OAKS DR
MONROE, GA 30655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Shaffer's NPI number?

The NPI number for Mark Shaffer is 1023015146. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Mark Shaffer located?

Mark Shaffer practices at 513B Great Oaks Dr, Monroe, GA 30655. The listed phone number is (770) 267-9391.

What is Mark Shaffer's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Mark Shaffer enrolled in Medicare?

Yes. Mark Shaffer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Shaffer accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mark Shaffer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Shaffer affiliated with any hospitals?

According to CMS data, Mark Shaffer is affiliated with Piedmont Walton Hospital.

When was this NPI record last updated?

The NPPES record for Mark Shaffer was last updated on September 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.