DR. JOHN ANDREW SCHEFFEL DPM
NPI 1285653782
Podiatrist - Foot Surgery in Worcester, MA

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
78.5/100
CMS Quality Rating
95 VERNON ST, WORCESTER, MA 01610(508) 755-2466(508) 755-6883 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2024, Apr 6, 2023 (2 updates tracked since 2023).

About Dr. John Andrew Scheffel Dpm NPPES

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

DR. JOHN ANDREW SCHEFFEL DPM (NPI 1285653782) is an individual foot surgery provider in Worcester, Massachusetts, licensed in Massachusetts (2171) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Clinton, and is a graduate of California School Of Podiatric Medicine (1999).

NPPES Registry Identity

NPI1285653782
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameDR. JOHN ANDREW SCHEFFELCredential: DPM
Location Address95 VERNON STWorcester, MA 01610-1988
Mailing AddressPo Box 34666Belfast, ME 04915-0624 · (508) 755-2466 · Fax (508) 755-6883
Fax(508) 755-6883
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1999
Enumeration DateJuly 18, 2006
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
NPI 1285653782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License Licensed in MA · 2171
Also ListedPodiatristTaxonomy 213E00000X · License 2171 (MA)
95 VERNON ST, Worcester, MA 01610

Secondary Practice Location 1

Location 1201 Highland StClinton, MA 01510-1037 · Phone (508) 755-2466 · Fax (507) 755-6883

Other Identifiers 1

Medicaid0324183MA

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. John Andrew Scheffel 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 ID3173411139
PECOS Enrollment IDI20040310000402
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 12

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.
274 services167 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
208 services72 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
199 services64 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
146 services57 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.
97 services64 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
91 services36 patients

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.

78.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality57.01
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Podiatrist
95 VERNON ST
WORCESTER, MA 01610
Urology
95 VERNON ST, SUITE 202
WORCESTER, MA 01610
Podiatrist
95 VERNON ST
WORCESTER, MA 01610

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 John Scheffel's NPI number?

The NPI number for John Scheffel is 1285653782. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is John Scheffel located?

John Scheffel practices at 95 Vernon St, Worcester, MA 01610. The listed phone number is (508) 755-2466.

What is John Scheffel's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is John Scheffel enrolled in Medicare?

Yes. John Scheffel 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 John Scheffel accept?

Health plans from Anthem Blue Cross and Blue Shield list John Scheffel 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.

When was this NPI record last updated?

The NPPES record for John Scheffel was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.