MARK EDWARD SHAFFER MD
NPI 1639308380
Family Medicine in Winnsboro, SC

Active since July 02, 2009PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
56 US HIGHWAY 321 BYP N, WINNSBORO, SC 29180(803) 635-6099(803) 635-6343 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2021, Apr 11, 2018, Mar 22, 2018 and 1 more (4 updates tracked since 2016).

About Mark Edward Shaffer Md NPPES

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

MARK EDWARD SHAFFER MD (NPI 1639308380) is an individual family medicine provider in Winnsboro, South Carolina, licensed in South Carolina (31836) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1639308380
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK EDWARD SHAFFERCredential: MD
Location Address56 US HIGHWAY 321 BYP NWinnsboro, SC 29180-7100
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Fax(803) 635-6343
Sole ProprietorYes
Medical School CMSHarvard Medical SchoolGraduated 2009
Enumeration DateJuly 2, 2009
Last NPPES UpdateJune 25, 20214 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
NPI 1639308380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 31836
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
56 US HIGHWAY 321 BYP N, Winnsboro, SC 29180

Secondary Practice Location 1

Location 13209 Colonial Dr, Family MedicineColumbia, SC 29203-6930 · Phone (803) 434-6113 · Fax (803) 434-7231

Other Identifiers 1

Medicaid318365SC

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

Mark Edward Shaffer 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 ID2961727953
PECOS Enrollment IDI20150216000865
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 5

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.

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.
57 services20 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.
24 services11 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 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.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420086
Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist Parkridge

Acute Care Hospitals · Columbia, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420106
Location400 Palmetto Health ParkwayColumbia, SC 29212 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29180 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Family Medicine
56 US HIGHWAY 321 BYP N
WINNSBORO, SC 29180
Physician Assistant
56 US HIGHWAY 321 BYP N
WINNSBORO, SC 29180
Nurse Practitioner (Family)
56 US HIGHWAY 321 BYP N
WINNSBORO, SC 29180
Clinic/Center (Rural Health)
56 US HIGHWAY 321 BYP N
WINNSBORO, SC 29180
Family Medicine
56 US HIGHWAY 321 BYP N
WINNSBORO, SC 29180
Clinic/Center (Multi-Specialty)
56 US HIGHWAY 321 BYP N
WINNSBORO, SC 29180
Family Medicine
56 US HIGHWAY 321 BYP N
WINNSBORO, SC 29180

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 Mark Shaffer's NPI number?

The NPI number for Mark Shaffer is 1639308380. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is Mark Shaffer located?

Mark Shaffer practices at 56 Us Highway 321 Byp N, Winnsboro, SC 29180. The listed phone number is (803) 635-6099.

What is Mark Shaffer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Shaffer enrolled in Medicare?

Yes. Mark 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 Mark Shaffer accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Mark 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.

Is Mark Shaffer affiliated with any hospitals?

According to CMS data, Mark Shaffer is affiliated with Prisma Health Richland Hospital, Musc Health Columbia Medical Center Downtown, Prisma Health Baptist and Prisma Health Baptist Parkridge.

When was this NPI record last updated?

The NPPES record for Mark Shaffer was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.