DR. SHAWN M PEFFALL M.D.
NPI 1457318933
Internal Medicine in Baltimore, MD

Q: What is Shawn Peffall's NPI number?

The NPI number for Shawn Peffall is 1457318933. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Shawn Peffall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shawn Peffall was last updated on June 25, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment

82.79/100

CMS Quality Rating

7602 BELAIR RD, BALTIMORE, MD 21236(410) 663-8100(410) 663-8119 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Shawn M Peffall M.d. NPPES

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

DR. SHAWN M PEFFALL M.D. (NPI 1457318933) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D0057104) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1457318933

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SHAWN M PEFFALLCredential: M.D.

Location Address7602 BELAIR RDBaltimore, MD 21236-4088

Mailing AddressPo Box 62026Baltimore, MD 21264-2026 · (410) 659-1553

Phone(410) 663-8100

Fax(410) 663-8119

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateApril 27, 2006

Last NPPES UpdateJune 25, 2010

✔ NPI 1457318933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · D0057104

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.

7602 BELAIR RD, Baltimore, MD 21236

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Other Identifiers 4

OtherKF68/610285-01MD · Bc/bs

Medicare UPINH32441MD

Medicaid970101005MD

Medicare ID-Type UnspecifiedKL28/AO50MD

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. Shawn M Peffall 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 ID143419812

PECOS Enrollment IDI20110111000697

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 16

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 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.

940 services463 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.

210 services153 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.

130 services119 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.

106 services105 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

96 services96 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

60 services60 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

55 services55 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.

43 services43 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

31 services31 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

25 services24 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

19 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

19 services19 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

16 services15 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

15 services13 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

14 services13 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Medical Center Inc

Acute Care Hospitals · Baltimore, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number210008

Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County

Emergency services Birthing friendly

Medstar Franklin Square Medical Center

Acute Care Hospitals · Rosedale, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210015

Location9000 Franklin Square DriveRosedale, MD 21237 · Baltimore County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21236 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

82.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

75.52

Promoting Interoperability

100

Improvement Activities

Cost

67.12

Reported Quality Measures

Appropriate Testing for Pharyngitis

52%21 patients3/55-star benchmark: 100%

Appropriate Treatment for Upper Respiratory Infection (URI)

29%90 patients2/55-star benchmark: 100%

Breast Cancer Screening

64%402 patients3/55-star benchmark: 93%

Cervical Cancer Screening

33%378 patients2/55-star benchmark: 98%

Colorectal Cancer Screening

67%1,156 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

63%788 patients3/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

17%254 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%4,048 patients4/55-star benchmark: 100%

e-Prescribing

98%22,290 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

45%1,708 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

22%1,314 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 90% · 1,438 patients

Patients screened: 96% · 1,438 patients

35%131 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

97%1,821 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 15% · 712 patients

Patients totalRate: 23% · 712 patients

22%712 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

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

19 suppliers56 claims147 services$6.36 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

11 suppliers23 claims26 services$1.12 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers14 claims14 services$36.31 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers11 claims22 services$0.77 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers13 claims13 services$77.54 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

7 suppliers15 claims15 services$16.92 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

VASCULAR SPECIALTY SERVICES, LLC

Surgery (Vascular Surgery)

7602 BELAIR RD
BALTIMORE, MD 21236

Baltimore County (410) 332-9404

SANG WOOK AN M.D.

Internal Medicine

7602 BELAIR RD
BALTIMORE, MD 21236

Baltimore County (410) 663-8100

LUTHERVILLE HEMATOLOGY AND ONCOLOGY

Internal Medicine (Hematology & Oncology)

7602 BELAIR RD
BALTIMORE, MD 21236

Baltimore County (410) 783-5858

LAUREN WHITTAKER PA-C

Physician Assistant

7602 BELAIR RD
NOTTINGHAM, MD 21236

Baltimore County (410) 663-8100

NEUROSURGICAL SPECIALTY SERVICES, LLC

Neurological Surgery

7602 BELAIR RD
BALTIMORE, MD 21236

Baltimore County (410) 332-9717

MR. THOMAS WOOD STEWART NP

Nurse Practitioner (Adult Health)

7602 BELAIR RD
BALTIMORE, MD 21236

Baltimore County (410) 663-8100

SEAN SIDER DPM

Podiatrist (Foot & Ankle Surgery)

7602 BELAIR RD
BALTIMORE, MD 21236

Baltimore County (410) 661-3338

ROWEN OPHTHALMOLOGY PC

Ophthalmology

7602 BELAIR RD
NOTTINGHAM, MD 21236

Baltimore County (410) 821-5333

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 Shawn Peffall's NPI number?

The NPI number for Shawn Peffall is 1457318933. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Shawn Peffall located?

Shawn Peffall practices at 7602 Belair Rd, Baltimore, MD 21236. The listed phone number is (410) 663-8100.

What is Shawn Peffall's specialty?

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

Is Shawn Peffall enrolled in Medicare?

Yes. Shawn Peffall 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.

Is Shawn Peffall affiliated with any hospitals?

According to CMS data, Shawn Peffall is affiliated with Mercy Medical Center Inc and Medstar Franklin Square Medical Center.

When was this NPI record last updated?

The NPPES record for Shawn Peffall was last updated on June 25, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.