DR. JAMES P SHAFFER MD
NPI 1801859368
Internal Medicine - Critical Care Medicine in Cookeville, TN

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment
145 W 4TH ST STE 201, COOKEVILLE, TN 38501(931) 783-2143(931) 783-2152 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 4, 2023, Feb 10, 2023, Dec 7, 2022 and 7 more (10 updates tracked since 2016).

About Dr. James P Shaffer Md NPPES

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

DR. JAMES P SHAFFER MD (NPI 1801859368) is an individual critical care medicine provider in Cookeville, Tennessee, licensed in Tennessee (67366) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Ohio State University College Of Medicine (1992).

NPPES Registry Identity

NPI1801859368
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. JAMES P SHAFFERCredential: MD
Location Address145 W 4TH ST STE 201Cookeville, TN 38501-2476
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 434-9563
Fax(931) 783-2152
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1992
Enumeration DateApril 7, 2006
Last NPPES UpdateApril 4, 202310 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
NPI 1801859368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in TN · 67366 Licensed in FL · ME79932
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 67366 (TN), ME79932 (FL)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 67366 (TN), ME79932 (FL)
145 W 4TH ST STE 201, Cookeville, TN 38501

Other Identifiers 3

Medicaid259073500FL
MedicaidQ080849TN
Other49787WFL · Medicare

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

Dr. James P 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 ID8729085139
PECOS Enrollment IDI20230313001587
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 17

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 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.
233 services99 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.
123 services101 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
123 services44 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.
65 services63 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
64 services64 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
41 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440059
Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 21

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers232 claims232 services$32.24 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers174 claims174 services$71.72 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers183 claims493 services$28.25 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
11 suppliers136 claims779 services$15.97 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers84 claims473 services$12.42 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
12 suppliers231 claims231 services$46.21 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 13

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

Internal Medicine (Pulmonary Disease)
145 W 4TH ST STE 201
COOKEVILLE, TN 38501
Physician Assistant
145 W 4TH ST STE 201
COOKEVILLE, TN 38501
Nurse Practitioner (Adult Health)
145 W 4TH ST STE 201
COOKEVILLE, TN 38501
Internal Medicine (Pulmonary Disease)
145 W 4TH ST STE 201
COOKEVILLE, TN 38501
Nurse Practitioner (Acute Care)
145 W 4TH ST STE 201
COOKEVILLE, TN 38501
Internal Medicine (Pulmonary Disease)
145 W 4TH ST STE 201
COOKEVILLE, TN 38501
Internal Medicine (Sleep Medicine)
145 W 4TH ST STE 201
COOKEVILLE, TN 38501
Psychiatry & Neurology (Neurology)
145 W 4TH ST STE 201
COOKEVILLE, TN 38501

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 James Shaffer's NPI number?

The NPI number for James Shaffer is 1801859368. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is James Shaffer located?

James Shaffer practices at 145 W 4th St Ste 201, Cookeville, TN 38501. The listed phone number is (931) 783-2143.

What is James Shaffer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is James Shaffer enrolled in Medicare?

Yes. James 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 James Shaffer accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list James 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 James Shaffer affiliated with any hospitals?

According to CMS data, James Shaffer is affiliated with Cumberland Medical Center and Cookeville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Shaffer was last updated on April 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.