DR. KENNETH JACKSON SCHAEFLE M.D.
NPI 1730591330
Student in an Organized Health Care Education/Training Program in New York, NY

Active since May 30, 2014PECOS Enrolled
100/100
CMS Quality Rating
100 E 77TH ST, NEW YORK, NY 10075(646) 460-2340 Get Directions Write a Review

NPPES record last updated: May 30, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Kenneth Jackson Schaefle M.d. NPPES

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

DR. KENNETH JACKSON SCHAEFLE M.D. (NPI 1730591330) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1730591330
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KENNETH JACKSON SCHAEFLECredential: M.D.
Location Address100 E 77TH STNew York, NY 10075-1850
Mailing Address630 Central StEvanston, IL 60201-1733 · (646) 460-2340
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 30, 2014
NPI 1730591330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 E 77TH ST, New York, NY 10075

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kenneth Jackson Schaefle M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618242306
PECOS Enrollment IDI20171005001928
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

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services13 patients

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
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.

Nurse Practitioner (Neonatal, Critical Care)
100 E 77TH ST
NEW YORK, NY 10075
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
Anesthesiology
100 E 77TH ST
NEW YORK, NY 10075
Nurse Practitioner (Acute Care)
100 E 77TH ST
NEW YORK, NY 10075

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 Kenneth Schaefle's NPI number?

The NPI number for Kenneth Schaefle is 1730591330. It was assigned to this individual provider in the NPPES registry on May 30, 2014.

Where is Kenneth Schaefle located?

Kenneth Schaefle practices at 100 E 77th St, New York, NY 10075. The listed phone number is (646) 460-2340.

What is Kenneth Schaefle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kenneth Schaefle enrolled in Medicare?

Yes. Kenneth Schaefle is registered in the Medicare PECOS enrollment system.

Is Kenneth Schaefle affiliated with any hospitals?

According to CMS data, Kenneth Schaefle is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Schaefle was last updated on May 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.