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MARCUS DODDRIDGE SHAFFER M.D.
NPI 1033381801
Otolaryngology in Charleston, WV

Active since April 01, 2008PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
830 PENNSYLVANIA AVE, SUITE 302, CHARLESTON, WV 25302(304) 388-2950(304) 388-2951 Get Directions Write a Review

NPPES record last updated: December 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marcus Doddridge Shaffer M.d. NPPES

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

MARCUS DODDRIDGE SHAFFER M.D. (NPI 1033381801) is an individual otolaryngology provider in Charleston, West Virginia, licensed in West Virginia (23875) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of West Virginia University School Of Medicine (2008).

NPPES Registry Identity

NPI1033381801
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMARCUS DODDRIDGE SHAFFERCredential: M.D.
Location Address830 PENNSYLVANIA AVE, SUITE 302Charleston, WV 25302-3302
Mailing Address830 Pennsylvania Ave 405Charleston, WV 25302-3390 · (304) 388-2980 · Fax (304) 388-2951
Phone(304) 388-2950
Fax(304) 388-2951
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2008
Enumeration DateApril 1, 2008
Last NPPES UpdateDecember 21, 2015
✔ NPI 1033381801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in WV · 23875
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
830 PENNSYLVANIA AVE, Charleston, WV 25302
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Marcus Doddridge Shaffer M.d. 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 ID8224255765
PECOS Enrollment IDI20140807000541
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 7

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.

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.
35 services35 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.
32 services32 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
30 services29 patients
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.
30 services26 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
21 services20 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.
21 services18 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. STEPHEN HAROLD BUSH MD
Obstetrics & Gynecology
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 388-1515
DR. JOHN M ECKERD M.D.
Pediatrics (Pediatric Cardiology)
830 PENNSYLVANIA AVE, SUITE 103
CHARLESTON, WV 25302
Kanawha County (304) 388-1552
CARRIE MARIE BUSH M.D.
Otolaryngology
830 PENNSYLVANIA AVE, SUITE 405
CHARLESTON, WV 25302
Kanawha County (304) 388-2980
PICKENS A. GANTT II M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
830 PENNSYLVANIA AVE, SUITE 205
CHARLESTON, WV 25302
Kanawha County (304) 388-2863
MS. JENNIFER DIVITA D.O.
Pediatrics
830 PENNSYLVANIA AVE, STE 200
CHARLESTON, WV 25302
Kanawha County (304) 388-2709
INTEGRATED HEALTH CARE PROVIDERS, INC.
Clinical Medical Laboratory
830 PENNSYLVANIA AVE, SUITE 302
CHARLESTON, WV 25302
Kanawha County (304) 388-2950
SCOTT A. NAEGELE, MD, PLLC
Obstetrics & Gynecology
830 PENNSYLVANIA AVE, SUITE 108
CHARLESTON, WV 25302
Kanawha County (304) 344-8368
MS. PEGGY SUE FISHER FNP, CRNA
Nurse Practitioner (Family)
830 PENNSYLVANIA AVE, SUITE 301
CHARLESTON, WV 25302
Kanawha County (304) 346-4455

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 Marcus Shaffer's NPI number?

The NPI number for Marcus Shaffer is 1033381801. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Marcus Shaffer located?

Marcus Shaffer practices at 830 Pennsylvania Ave Suite 302, Charleston, WV 25302. The listed phone number is (304) 388-2950.

What is Marcus Shaffer's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Marcus Shaffer enrolled in Medicare?

Yes. Marcus 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 Marcus Shaffer accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Marcus 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 Marcus Shaffer affiliated with any hospitals?

According to CMS data, Marcus Shaffer is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Marcus Shaffer was last updated on December 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.