DR. CHARLES STEPHEN SHAFFER M.D.
NPI 1235450982
Family Medicine in Park Rapids, MN

Q: What is Charles Shaffer's NPI number?

The NPI number for Charles Shaffer is 1235450982. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Q: What is Charles Shaffer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Shaffer 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.

Active since June 17, 2010PECOS EnrolledAccepts Medicare Assignment

110 7TH ST W, PARK RAPIDS, MN 56470(218) 699-3121 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2023, Sep 4, 2018, May 10, 2017 (3 updates tracked since 2017).

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About Dr. Charles Stephen Shaffer M.d. NPPES

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

DR. CHARLES STEPHEN SHAFFER M.D. (NPI 1235450982) is an individual family medicine provider in Park Rapids, Minnesota, licensed in Minnesota (60110) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and maintains a secondary practice location in Detroit Lakes.

NPPES Registry Identity

NPI1235450982

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CHARLES STEPHEN SHAFFERCredential: M.D.

Location Address110 7TH ST WPark Rapids, MN 56470-1872

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(218) 699-3121

Sole ProprietorNo

Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2010

Enumeration DateJune 17, 2010

Last NPPES UpdateDecember 11, 20233 updates tracked since enumeration

NPPES CertifiedDecember 11, 2023

✔ NPI 1235450982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 60110

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License 60110 (MN)

110 7TH ST W, Park Rapids, MN 56470

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Secondary Practice Location 1

Location 11027 Washington AveDetroit Lakes, MN 56501 · Phone (218) 847-5611

Other Identifiers 1

Other60110MN · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles Stephen 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 ID1658674809

PECOS Enrollment IDI20251215003332

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.

Medicare Billing Reassignments

Medicare enrollment records show Charles Shaffer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Burnett Medical Center Inc

138 mi

Critical Access

257 W SAINT GEORGE AVE
Grantsburg, WI 54840

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1356499784 (Wisconsin)
92 clinicians in this Medicare group

NPI 1225191687 (715) 463-5353

St. Croix Tribal Council

156 mi

Federally Qualified Health Center (FQHC)

4404 STATE ROAD 70
Webster, WI 54893

Reassigned Medicare billing, Wisconsin enrollment
13 clinicians in this Medicare group

NPI 1831170091 (715) 349-8554

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

235 services150 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.

131 services90 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

49 services49 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

35 services31 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

21 services21 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240100

Location1300 Anne St NWBemidji, MN 56601 · Beltrami County

Emergency services Birthing friendly

St Josephs Area Health Services

Critical Access Hospitals · Park Rapids, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241380

Location600 Pleasant AvenuePark Rapids, MN 56470 · Hubbard County

Emergency services

Burnett Medical Center

Critical Access Hospitals · Grantsburg, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521331

Location257 W St George AveGrantsburg, WI 54840 · Burnett County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56470 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Other Providers at the Same Location NPPES 7

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

SHANE D NYGARD MD

Family Medicine