TROY ALLEN SCHAFFERNOCKER M.D.
NPI 1043434640
Internal Medicine - Sleep Medicine in Columbus, OH

Active since April 13, 2007PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
2050 KENNY RD, COLUMBUS, OH 43221(614) 293-4925(614) 293-5503 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2023, Jan 22, 2019 (2 updates tracked since 2019).

About Troy Allen Schaffernocker M.d. NPPES

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

TROY ALLEN SCHAFFERNOCKER M.D. (NPI 1043434640) is an individual sleep medicine provider in Columbus, Ohio, licensed in Ohio (35.086304) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Ohio State University College Of Medicine (2002).

NPPES Registry Identity

NPI1043434640
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameTROY ALLEN SCHAFFERNOCKERCredential: M.D.
Location Address2050 KENNY RDColumbus, OH 43221-3502
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-4925 · Fax (614) 293-5503
Fax(614) 293-5503
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2002
Enumeration DateApril 13, 2007
Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
NPI 1043434640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in OH · 35.086304
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 35.086304 (OH)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 35.086304 (OH)
2050 KENNY RD, Columbus, OH 43221

Other Identifiers 1

Medicaid2843945OH

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

Troy Allen Schaffernocker 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 ID1658442637
PECOS Enrollment IDI20080618000685
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
107 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services20 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
25 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services13 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
17 services16 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43221 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers21 claims21 services$35.37 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers14 claims14 services$81.18 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers14 claims35 services$31.43 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers19 claims19 services$46.01 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers20 claims20 services$16.08 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers34 claims203 services$1.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist (Oncology)
2050 KENNY RD, ROOM 824
COLUMBUS, OH 43221
Prosthetic/Orthotic Supplier
2050 KENNY RD, SUITE 3300
COLUMBUS, OH 43221
Surgery (Surgical Oncology)
2050 KENNY RD
COLUMBUS, OH 43221
Nurse Practitioner
2050 KENNY RD
COLUMBUS, OH 43221
Nurse Practitioner
2050 KENNY RD
COLUMBUS, OH 43221
Nurse Practitioner
2050 KENNY RD
COLUMBUS, OH 43221
Physical Medicine & Rehabilitation
2050 KENNY RD
COLUMBUS, OH 43221
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2050 KENNY RD
COLUMBUS, OH 43221

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 Troy Schaffernocker's NPI number?

The NPI number for Troy Schaffernocker is 1043434640. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Troy Schaffernocker located?

Troy Schaffernocker practices at 2050 Kenny Rd, Columbus, OH 43221. The listed phone number is (614) 293-4925.

What is Troy Schaffernocker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Troy Schaffernocker enrolled in Medicare?

Yes. Troy Schaffernocker 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 Troy Schaffernocker accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Troy Schaffernocker 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 Troy Schaffernocker affiliated with any hospitals?

According to CMS data, Troy Schaffernocker is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Troy Schaffernocker was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.