ROBERT A SHAFFER M.D.
NPI 1528002151
Internal Medicine - Gastroenterology in Birmingham, AL

Q: What is Robert Shaffer's NPI number?

The NPI number for Robert Shaffer is 1528002151. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Robert Shaffer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Robert Shaffer was last updated on December 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 15, 2006PECOS EnrolledAccepts Medicare Assignment

72.56/100

CMS Quality Rating

100 PILOT MEDICAL DRIVE, SUITE 250, BIRMINGHAM, AL 35235(205) 838-3034(205) 397-1480 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Robert A Shaffer M.d. NPPES

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

ROBERT A SHAFFER M.D. (NPI 1528002151) is an individual gastroenterology provider in Birmingham, Alabama, licensed in Alabama (26010) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1999).

NPPES Registry Identity

NPI1528002151

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameROBERT A SHAFFERCredential: M.D.

Location Address100 PILOT MEDICAL DRIVE, SUITE 250Birmingham, AL 35235

Mailing Address2018 Brookwood Medical Ctr Dr, Suite 206Birmingham, AL 35209-6898 · (205) 870-0256 · Fax (205) 870-7107

Phone(205) 838-3034

Fax(205) 397-1480

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1999

Enumeration DateJune 15, 2006

Last NPPES UpdateDecember 4, 2007

✔ NPI 1528002151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in AL · 26010

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

100 PILOT MEDICAL DRIVE, Birmingham, AL 35235

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Other Identifiers 2

Medicare UPINI28462

Medicare PINP00245398

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Robert A 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 ID6103866132

PECOS Enrollment IDI20050509000811

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

122 services118 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.

110 services33 patients

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.

106 services35 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

94 services86 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

80 services80 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

72 services72 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.

50 services42 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.

41 services39 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.

38 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

29 services29 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

27 services27 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 services22 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

24 services24 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

18 services18 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35235 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.

72.56/100

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

Individually scored

Quality

61.21

Promoting Interoperability

100

Improvement Activities

Cost

47.33

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

13%24 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

69%258 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

62%68 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

86%518 patients4/55-star benchmark: 100%

e-Prescribing

98%979 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

52%245 patients3/55-star benchmark: 100%

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

69%400 patients3/55-star benchmark: 100%

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

43%400 patients2/55-star benchmark: 97%

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

Patients screened: 97% · 77 patients

94%77 patients

Provide Patients Electronic Access to Their Health Information

81%107 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 253 patients

Patients totalRate: 15% · 253 patients

15%253 patients3/55-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.

Other Providers at the Same Location NPPES 18

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

DR. THOMAS ALAN VINES M.D.

Internal Medicine (Pulmonary Disease)

100 PILOT MEDICAL DRIVE, SUITE 100
BIRMINGHAM, AL 35235

Jefferson County (205) 854-8084

KENT A TUCKER M.D.

Internal Medicine (Hematology & Oncology)

100 PILOT MEDICAL DRIVE, SUITE 175
BIRMINGHAM, AL 35235

Jefferson County (205) 856-8488

MS. RACHEL CLARK WILKINSON RN, CRNP

Nurse Practitioner

100 PILOT MEDICAL DRIVE, #300
BIRMINGHAM, AL 35235

Jefferson County (205) 856-2284

DR. JAMES RANDAL TRIMM MD

Internal Medicine (Interventional Cardiology)

100 PILOT MEDICAL DRIVE, SUITE 300
BIRMINGHAM, AL 35235

Jefferson County (205) 856-2284

BIRMINGHAM HEART CLINIC, PLLC

Specialist

100 PILOT MEDICAL DRIVE, SUITE 300
BIRMINGHAM, AL 35235

Jefferson County (205) 856-2284

SHAILENDRA LAKHANPAL M.D.

Internal Medicine (Hematology & Oncology)

100 PILOT MEDICAL DRIVE, SUITE 175
BIRMINGHAM, AL 35235

Jefferson County (205) 856-8488

MILES E GRESHAM M.D.

Internal Medicine (Gastroenterology)

100 PILOT MEDICAL DRIVE, SUITE 250
BIRMINGHAM, AL 35235

Jefferson County (205) 838-3034

DR. HAROLD PREBBLE SETTLE JR. M.D.

Internal Medicine (Cardiovascular Disease)

100 PILOT MEDICAL DRIVE, SUITE 300
BIRMINGHAM, AL 35235

Jefferson County (205) 856-2284

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 Robert Shaffer's NPI number?

The NPI number for Robert Shaffer is 1528002151. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Robert Shaffer located?

Robert Shaffer practices at 100 Pilot Medical Drive Suite 250, Birmingham, AL 35235. The listed phone number is (205) 838-3034.

What is Robert Shaffer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Robert Shaffer enrolled in Medicare?

Yes. Robert Shaffer 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 Robert Shaffer accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Robert Shaffer 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 Robert Shaffer was last updated on December 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.