MRS. STARLEEN CELESTE SCHAFFER M.D.
NPI 1407855174
Internal Medicine in Sebastian, FL

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment
22.14/100
CMS Quality Rating
13000 US HIGHWAY 1, SUITE 4, SEBASTIAN, FL 32958(772) 388-4000(772) 388-4019 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Starleen Celeste Schaffer M.d. NPPES

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

MRS. STARLEEN CELESTE SCHAFFER M.D. (NPI 1407855174) is an individual internal medicine provider in Sebastian, Florida, licensed in Florida (ME81334) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Indian River Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1996).

NPPES Registry Identity

NPI1407855174
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. STARLEEN CELESTE SCHAFFERCredential: M.D.
Location Address13000 US HIGHWAY 1, SUITE 4Sebastian, FL 32958-3773
Mailing Address13000 Us Highway 1, Suite 4Sebastian, FL 32958-3773 · (772) 388-4000 · Fax (772) 388-4019
Fax(772) 388-4019
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1996
Enumeration DateJuly 15, 2005
Last NPPES UpdateJuly 6, 2010
NPI 1407855174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME81334
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13000 US HIGHWAY 1, Sebastian, FL 32958

Other Identifiers 3

Other110215939FL · Railroad Medicare
Medicare ID-Type Unspecified51798FL
Medicare UPINH27795FL

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

Mrs. Starleen Celeste Schaffer 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 ID4587652466
PECOS Enrollment IDI20040501000268
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 11

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
2,216 services253 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
1,084 services248 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
551 services211 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
303 services134 patients
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
104 services56 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Sebastian River Medical Center

Acute Care Hospitals · Sebastian, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100217
Location13695 Us Hwy 1Sebastian, FL 32958 · Indian River County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32958 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

22.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost73.81

Referred Medical Equipment & Supplies CMS DME claims 20

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers42 claims101 services$6.45 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims13 services$1.15 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers11 claims11 services$95.43 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers19 claims94 services$18.32 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
5 suppliers28 claims28 services$53.91 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers25 claims25 services$17.53 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 9

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

Family Medicine
13000 US HIGHWAY 1, SUITE 5
SEBASTIAN, FL 32958
Nurse Practitioner (Adult Health)
13000 US HIGHWAY 1, SUITE 5
SEBASTIAN, FL 32958
Orthopaedic Surgery
13000 US HIGHWAY 1, SUITE 5
SEBASTIAN, FL 32958
Orthopaedic Surgery
13000 US HIGHWAY 1, SUITE 5
SEBASTIAN, FL 32958
Orthopaedic Surgery (Sports Medicine)
13000 US HIGHWAY 1, SUITE 5
SEBASTIAN, FL 32958
Internal Medicine
13000 US HIGHWAY 1, SUITE 4
SEBASTIAN, FL 32958
Physical Therapist
13000 US HIGHWAY 1, SUITE 7
SEBASTIAN, FL 32958
Internal Medicine
13000 US HIGHWAY 1, SUITE 4
SEBASTIAN, FL 32958

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 Starleen Schaffer's NPI number?

The NPI number for Starleen Schaffer is 1407855174. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Starleen Schaffer located?

Starleen Schaffer practices at 13000 Us Highway 1 Suite 4, Sebastian, FL 32958. The listed phone number is (772) 388-4000.

What is Starleen Schaffer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Starleen Schaffer enrolled in Medicare?

Yes. Starleen Schaffer 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 Starleen Schaffer accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Starleen Schaffer 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 Starleen Schaffer affiliated with any hospitals?

According to CMS data, Starleen Schaffer is affiliated with Cleveland Clinic Indian River Hospital and Sebastian River Medical Center.

When was this NPI record last updated?

The NPPES record for Starleen Schaffer was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.