DR. MIMI SHAFFER M.D.
NPI 1568758928
Obstetrics & Gynecology in Chula Vista, CA

Active since June 23, 2011PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
1400 E PALOMAR ST, CHULA VISTA, CA 91913(858) 499-2702 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mimi Shaffer M.d. NPPES

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

DR. MIMI SHAFFER M.D. (NPI 1568758928) is an individual obstetrics & gynecology provider in Chula Vista, California, licensed in California (A123887) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (2011).

NPPES Registry Identity

NPI1568758928
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MIMI SHAFFERCredential: M.D.
Location Address1400 E PALOMAR STChula Vista, CA 91913-1800
Mailing Address1400 E Palomar StChula Vista, CA 91913-1800 · (858) 499-2702
Sole ProprietorYes
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2011
Enumeration DateJune 23, 2011
Last NPPES UpdateDecember 7, 2015
NPI 1568758928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · A123887
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1400 E PALOMAR ST, Chula Vista, CA 91913

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. Mimi 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 ID4183938921
PECOS Enrollment IDI20150806011378
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91913 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

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.

Pharmacist
1400 E PALOMAR ST
CHULA VISTA, CA 91913
Family Medicine
1400 E PALOMAR ST
CHULA VISTA, CA 91913
Pharmacist
1400 E PALOMAR ST
CHULA VISTA, CA 91913
Dermatology
1400 E PALOMAR ST
CHULA VISTA, CA 91913
Pediatrics
1400 E PALOMAR ST
CHULA VISTA, CA 91913
Surgery
1400 E PALOMAR ST
CHULA VISTA, CA 91913
Internal Medicine
1400 E PALOMAR ST
CHULA VISTA, CA 91913
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1400 E PALOMAR ST
CHULA VISTA, CA 91913

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 Mimi Shaffer's NPI number?

The NPI number for Mimi Shaffer is 1568758928. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Mimi Shaffer located?

Mimi Shaffer practices at 1400 E Palomar St, Chula Vista, CA 91913. The listed phone number is (858) 499-2702.

What is Mimi Shaffer's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mimi Shaffer enrolled in Medicare?

Yes. Mimi 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.

When was this NPI record last updated?

The NPPES record for Mimi Shaffer was last updated on December 7, 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.