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DR. KATHY JO SHAFER D.M.D.
NPI 1750499729
Dentist - General Practice in Litchfield, IL

Active since August 29, 2006PECOS Enrolled
3162 TRAYLOR TRL, LITCHFIELD, IL 62056(217) 622-5137 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kathy Jo Shafer D.m.d. NPPES

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

DR. KATHY JO SHAFER D.M.D. (NPI 1750499729) is an individual general practice provider in Litchfield, Illinois, licensed in Illinois (019021377) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750499729
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KATHY JO SHAFERCredential: D.M.D.
Location Address3162 TRAYLOR TRLLitchfield, IL 62056-4559
Mailing Address3162 Traylor TrlLitchfield, IL 62056-4559 · (217) 622-5137
Phone(217) 622-5137
Sole ProprietorYes
Enumeration DateAugust 29, 2006
Last NPPES UpdateDecember 16, 2022
NPPES CertifiedDecember 16, 2022
✔ NPI 1750499729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019021377
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3162 TRAYLOR TRL, Litchfield, IL 62056
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathy Jo Shafer D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kathy Shafer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Macoupin County Public Health Department
1.9 mi
Federally Qualified Health Center (FQHC)
805 SAINT FRANCIS WAY
Litchfield, IL 62056
  • Reassigned Medicare billing, Illinois enrollment
  • 21 clinicians in this Medicare group
NPI 1720687841 (217) 839-4141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62056 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

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 Kathy Shafer's NPI number?

The NPI number for Kathy Shafer is 1750499729. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Kathy Shafer located?

Kathy Shafer practices at 3162 Traylor Trl, Litchfield, IL 62056. The listed phone number is (217) 622-5137.

What is Kathy Shafer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kathy Shafer enrolled in Medicare?

Yes. Kathy Shafer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathy Shafer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Shafer reassigns Medicare benefits to Macoupin County Public Health Department (Litchfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathy Shafer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathy Shafer accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Kathy Shafer 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 Kathy Shafer was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.