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DR. MATTHEW JAMES SHAFFER M.D.
NPI 1649461625
Family Medicine in Ashland, KY

Active since August 06, 2007PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
2201 LEXINGTON AVE, ASHLAND, KY 41101(606) 408-6200(606) 408-6825 Get Directions Write a Review

NPPES record last updated: April 7, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Matthew James Shaffer M.d. NPPES

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

DR. MATTHEW JAMES SHAFFER M.D. (NPI 1649461625) is an individual family medicine provider in Ashland, Kentucky, licensed in Kentucky (44465) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of West Virginia University School Of Medicine (2004).

NPPES Registry Identity

NPI1649461625
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATTHEW JAMES SHAFFERCredential: M.D.
Location Address2201 LEXINGTON AVEAshland, KY 41101-2843
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-6200 · Fax (606) 408-6612
Phone(606) 408-6200
Fax(606) 408-6825
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 2004
Enumeration DateAugust 6, 2007
Last NPPES UpdateApril 7, 2017
✔ NPI 1649461625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in KY · 44465✔ Licensed in WV · 22835
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.

Also ListedHospitalistTaxonomy 208M00000X · License 44465 (KY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2201 LEXINGTON AVE, Ashland, KY 41101
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Other Identifiers 3

Medicaid7100156550KY
Medicare PINP400040133KY
Medicaid3159764OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Dr. Matthew James 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 ID3375621055
PECOS Enrollment IDI20110323000708
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.
473 services189 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.
290 services125 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
173 services166 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.
42 services42 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.
30 services29 patients

Hospital Affiliations CMS Care Compare

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
1 supplier12 claims12 services$16.99 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$71.27 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier138 claims138 services$19.99 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers43 claims43 services$8.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier131 claims131 services$112.07 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
10 suppliers13 claims960 services$0.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DALKEITH FITZLAWSON TUCKER D.O.
Emergency Medicine
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-0605
ELIZABETH JEAN LOAN APRN
Nurse Practitioner (Family)
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-4000
DONALD A KRAFT MD
Emergency Medicine
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 327-4000
DOUGLAS M MOTTLEY M.D.
Specialist
2201 LEXINGTON AVE, SUITE 8B
ASHLAND, KY 41101
Boyd County (606) 327-5190
JASON G. ELLIS CRNA
Nurse Anesthetist, Certified Registered
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-4000
ASHLEY LUSTER
Pharmacist
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-1225
HASSAN R ABUL-KHOUDOUD MD
Hospitalist
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-4000
ASHLAND HOSPITAL CORPORATION
Durable Medical Equipment & Medical Supplies
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-4000

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 Matthew Shaffer's NPI number?

The NPI number for Matthew Shaffer is 1649461625. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Matthew Shaffer located?

Matthew Shaffer practices at 2201 Lexington Ave, Ashland, KY 41101. The listed phone number is (606) 408-6200.

What is Matthew Shaffer's specialty?

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

Is Matthew Shaffer enrolled in Medicare?

Yes. Matthew 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 Matthew Shaffer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Matthew 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 Matthew Shaffer affiliated with any hospitals?

According to CMS data, Matthew Shaffer is affiliated with King's Daughters' Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Shaffer was last updated on April 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.