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KANE LOUX SCHAPHORST MD
NPI 1518901248
Internal Medicine - Pulmonary Disease in Mobile, AL

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
2451 FILLINGIM ST, MASTIN SUITE 102, MOBILE, AL 36617(251) 470-5890(251) 471-7925 Get Directions Write a Review

NPPES record last updated: November 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kane Loux Schaphorst Md NPPES

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

KANE LOUX SCHAPHORST MD (NPI 1518901248) is an individual pulmonary disease provider in Mobile, Alabama, licensed in Alabama (25752) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (1988).

NPPES Registry Identity

NPI1518901248
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameKANE LOUX SCHAPHORSTCredential: MD
Location Address2451 FILLINGIM ST, MASTIN SUITE 102Mobile, AL 36617-2238
Mailing AddressPo Box 40480Mobile, AL 36640-0480 · (251) 470-5890 · Fax (251) 471-7925
Phone(251) 470-5890
Fax(251) 471-7925
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1988
Enumeration DateJune 15, 2006
Last NPPES UpdateNovember 23, 2015
✔ NPI 1518901248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in AL · 25752✔ Licensed in FL · ME117938
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
2451 FILLINGIM ST, Mobile, AL 36617
Open in Google Maps ↗

Other Identifiers 7

Other25-00584AL · United Healthcare
Medicaid05075793MS
Other51526360AL · Bcbs
Medicaid009982235AL
Medicaid009982225AL
Other51526359AL · Bcbs
Medicare UPINF89702

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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

Kane Loux Schaphorst Md 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 ID8224081757
PECOS Enrollment IDI20151203001076
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

2

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

University Of South Alabama
0.1 mi
Clinical Medical Laboratory
2451 UNIVERSITY HOSPITAL DR
Mobile, AL 36617
  • Reassigned Medicare billing, Alabama enrollment
  • 394 clinicians in this Medicare group
NPI 1497859052 (251) 471-7000
Usa Health Physician Billing Services LLC
0.1 mi
Emergency Medicine
2451 UNIVERSITY HOSPITAL DR
Mobile, AL 36617
  • Reassigned Medicare billing, Alabama enrollment
  • 857 clinicians in this Medicare group
NPI 1285292912 (251) 470-7300

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 9

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.
130 services68 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.
46 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.
43 services28 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.
24 services23 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
17 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36617 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.76
Promoting Interoperability100
Improvement Activities40

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.

DR. ANTHONY DEVAN HOLLMAN M.D.
Radiology (Diagnostic Radiology)
2451 FILLINGIM ST
MOBILE, AL 36617
Mobile County (251) 471-7117
DR. EMILY SMITH GREZAFFI M.D.
Pediatrics
2451 FILLINGIM ST
MOBILE, AL 36617
Mobile County (251) 471-7000
SHARON FRUH CRNP
Nurse Practitioner (Family)
2451 FILLINGIM ST, 3RD FLOOR
MOBILE, AL 36617
Mobile County (251) 471-7944
FREDERICK M. SILVER MD
Otolaryngology (Plastic Surgery within the Head & Neck)
2451 FILLINGIM ST, MASTIN 101
MOBILE, AL 36617
Mobile County (251) 445-8282
JOHN ADAM SELF CRNA
Nurse Anesthetist, Certified Registered
2451 FILLINGIM ST, ROOM 335
MOBILE, AL 36617
Mobile County (251) 471-7045
JOHN P. BRANNAN JR. MD
Radiology (Diagnostic Radiology)
2451 FILLINGIM ST
MOBILE, AL 36617
Mobile County (251) 471-7150
BASSAM A. OMAR MD
Internal Medicine (Cardiovascular Disease)
2451 FILLINGIM ST, BLDG. C
MOBILE, AL 36617
Mobile County (251) 445-8242
PAUL RICHARD BILLEAUD
Radiology (Diagnostic Radiology)
2451 FILLINGIM ST, MASTIN 315
MOBILE, AL 36617
Mobile County (251) 471-7866

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 Kane Schaphorst's NPI number?

The NPI number for Kane Schaphorst is 1518901248. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Kane Schaphorst located?

Kane Schaphorst practices at 2451 Fillingim St Mastin Suite 102, Mobile, AL 36617. The listed phone number is (251) 470-5890.

What is Kane Schaphorst's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kane Schaphorst enrolled in Medicare?

Yes. Kane Schaphorst 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.

Which organizations bill Medicare for Kane Schaphorst's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kane Schaphorst reassigns Medicare benefits to 2 organizations: University Of South Alabama (Mobile, AL) and Usa Health Physician Billing Services LLC (Mobile, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kane Schaphorst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kane Schaphorst accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Kane Schaphorst 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 Kane Schaphorst was last updated on November 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.