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MARK R SHAFER M.D.
NPI 1780642702
Radiology - Diagnostic Radiology in Providence, RI

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
830 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 273-7100 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark R Shafer M.d. NPPES

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

MARK R SHAFER M.D. (NPI 1780642702) is an individual diagnostic radiology provider in Providence, Rhode Island, licensed in Massachusetts (158271) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Woodhull Medical & Mental Health Center, and is a graduate of New York Medical College (1996).

NPPES Registry Identity

NPI1780642702
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK R SHAFERCredential: M.D.
Location Address830 CHALKSTONE AVEProvidence, RI 02908-4734
Mailing Address90 Adeline RdNewton, MA 02459-2705 · (401) 273-7100
Phone(401) 273-7100
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1996
Enumeration DateMay 1, 2006
Last NPPES UpdateMay 4, 2017
✔ NPI 1780642702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MA · 158271
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
830 CHALKSTONE AVE, Providence, RI 02908
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark R Shafer 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 ID2365624756
PECOS Enrollment IDI20110329000575
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 Mark Shafer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York City Health And Hospitals Corporation
143 mi
General Acute Care Hospital
3424 KOSSUTH AVE
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1023024882 (718) 918-3677

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

Hospital Affiliations CMS Care Compare

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

Woodhull Medical & Mental Health Center

Acute Care Hospitals · Brooklyn, NY
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330396
Location760 BroadwayBrooklyn, NY 11206 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

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.

ELIZABETH SEVIN
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 723-7100
TONI MARIE ACAMPORA LICSW
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
ELIZABETH MOORE MEDBURY APRN
Nurse Practitioner (Acute Care)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7011
LILY ANN CURRERI RDN
Dietitian, Registered
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
MS. HELEN MARY SULLIVAN R.N.
Registered Nurse
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
MS. RENEE COLETTE WATSON LICSW
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
DOUGLAS L TOWNSEND RN
Registered Nurse (Psychiatric/Mental Health)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100
MR. THOMAS H. WHEELER MMSC, PT
Physical Therapist
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 273-7100

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 Shafer's NPI number?

The NPI number for Mark Shafer is 1780642702. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Mark Shafer located?

Mark Shafer practices at 830 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 273-7100.

What is Mark Shafer's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Shafer enrolled in Medicare?

Yes. Mark Shafer 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.

Which organization bills Medicare for Mark Shafer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Shafer reassigns Medicare benefits to New York City Health And Hospitals Corporation (Bronx, NY). 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 Mark Shafer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mark Shafer affiliated with any hospitals?

According to CMS data, Mark Shafer is affiliated with Woodhull Medical & Mental Health Center.

When was this NPI record last updated?

The NPPES record for Mark Shafer was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.