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MICHAEL SHAFFER MD
NPI 1811154909
Family Medicine in Marysville, OH

Active since May 17, 2008PECOS EnrolledAccepts Medicare Assignment
17853 STATE ROUTE 31 STE B, MARYSVILLE, OH 43040(937) 578-4004 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Michael Shaffer Md NPPES

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

MICHAEL SHAFFER MD (NPI 1811154909) is an individual family medicine provider in Marysville, Ohio, licensed in Ohio (35-093380) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Ohio State University College Of Medicine (2007).

NPPES Registry Identity

NPI1811154909
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL SHAFFERCredential: MD
Location Address17853 STATE ROUTE 31 STE BMarysville, OH 43040-8835
Mailing Address17853 State Route 31 Ste BMarysville, OH 43040-8835 · (937) 578-4004
Phone(937) 578-4004
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2007
Enumeration DateMay 17, 2008
Last NPPES UpdateJune 26, 2019
✔ NPI 1811154909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35-093380
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.
17853 STATE ROUTE 31 STE B, Marysville, OH 43040
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Other Identifiers 1

Medicaid3097983OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance.Insurance ›

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

Michael 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 ID1254465339
PECOS Enrollment IDI20100811000137
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 Michael Shaffer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Union County Physician Corporation
2.2 mi
Occupational Medicine
500 LONDON AVE, DEPARTMENT OF OCCUPATIONAL HEALTH
Marysville, OH 43040
  • Reassigned Medicare billing, Ohio enrollment
  • 144 clinicians in this Medicare group
NPI 1497300172 (937) 578-2417

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

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.

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.
147 services86 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
94 services66 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
41 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43040 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers24 claims51 services$6.08 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
4 suppliers29 claims29 services$76.52 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
1 supplier14 claims1,170 services$0.08 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers15 claims15 services$22.10 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 2

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

LORI ANN MCGUIRE MSSA, LISW
Social Worker (Clinical)
17853 STATE ROUTE 31 STE B
MARYSVILLE, OH 43040
Union County (937) 578-4004
MRS. JENNIFER DIANE BISSEL
Nurse Practitioner (Family)
17853 STATE ROUTE 31 STE B
MARYSVILLE, OH 43040
Union County (937) 578-4004

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 Michael Shaffer's NPI number?

The NPI number for Michael Shaffer is 1811154909. It was assigned to this individual provider in the NPPES registry on May 17, 2008.

Where is Michael Shaffer located?

Michael Shaffer practices at 17853 State Route 31 Ste B, Marysville, OH 43040. The listed phone number is (937) 578-4004.

What is Michael Shaffer's specialty?

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

Is Michael Shaffer enrolled in Medicare?

Yes. Michael 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.

Which organization bills Medicare for Michael Shaffer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Shaffer reassigns Medicare benefits to Union County Physician Corporation (Marysville, OH). 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 Michael Shaffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Shaffer accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and Oscar Health Insurance list Michael 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 Michael Shaffer affiliated with any hospitals?

According to CMS data, Michael Shaffer is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Shaffer was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.