DR. RANDALL L. SCHAFFNER M.D.
NPI 1962400895
Family Medicine in Vernon, TX

Active since July 13, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0875110 · Microscopy
4301 COLLEGE DR, SUITE # 300, VERNON, TX 76384(940) 552-0552(940) 552-0559 Get Directions Write a Review

NPPES record last updated: August 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Randall L. Schaffner M.d. NPPES

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

DR. RANDALL L. SCHAFFNER M.D. (NPI 1962400895) is an individual family medicine provider in Vernon, Texas, licensed in Texas (J0242) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 17, 2027, and is affiliated with United Regional Health Care System.

NPPES Registry Identity

NPI1962400895
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RANDALL L. SCHAFFNERCredential: M.D.
Location Address4301 COLLEGE DR, SUITE # 300Vernon, TX 76384-3128
Mailing Address4301 College Dr, Suite # 300Vernon, TX 76384-3128 · (940) 552-0552 · Fax (940) 552-0559
Fax(940) 552-0559
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1990
Enumeration DateJuly 13, 2005
Last NPPES UpdateAugust 6, 2010
NPI 1962400895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · J0242
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.
4301 COLLEGE DR, Vernon, TX 76384

Other Identifiers 4

Medicaid1115362-02TX
Medicare ID-Type Unspecified00K87T
Medicare UPINF58128
Medicaid1115362-01TX

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. Randall L. Schaffner 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 ID4880719442
PECOS Enrollment IDI20100920000569
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0875110

Randall Schaffner MD Office · Vernon, TX
Active · expires Aug 17, 2027
CLIA Number45D0875110
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorRandall L. Schaffner
Laboratory Phone(817) 552-0552
Laboratory LocationRandall Schaffner MD Office4301 College Drive Suite 300, Vernon, TX 76384
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 20

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 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.
400 services154 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.
156 services86 patients
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.
131 services130 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
105 services68 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
93 services11 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
91 services52 patients

Hospital Affiliations CMS Care Compare 2

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

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450010
Location1600 11th StreetWichita Falls, TX 76301 · Wichita County
Emergency services Birthing friendly

Wilbarger General Hospital

Acute Care Hospitals · Vernon, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450584
Location920 Hillcrest DrVernon, TX 76384 · Wilbarger County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76384 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%147 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%148 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%166 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%148 patients5/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%83 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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
3 suppliers48 claims65 services$5.77 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers32 claims32 services$0.99 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers14 claims14 services$16.84 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers13 claims13 services$16.94 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers13 claims33 services$2.93 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers43 claims46 services$38.82 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 6

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

Clinic/Center (Rural Health)
4301 COLLEGE DR
VERNON, TX 76384
Family Medicine
4301 COLLEGE DR, SUITE 700
VERNON, TX 76384
Surgery
4301 COLLEGE DR, RM 500
VERNON, TX 76384
Clinic/Center (Physical Therapy)
4301 COLLEGE DR, SUITE 400
VERNON, TX 76384
Internal Medicine
4301 COLLEGE DR
VERNON, TX 76384
Family Medicine
4301 COLLEGE DR, SUITE 600
VERNON, TX 76384

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 Randall Schaffner's NPI number?

The NPI number for Randall Schaffner is 1962400895. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Randall Schaffner located?

Randall Schaffner practices at 4301 College Dr Suite # 300, Vernon, TX 76384. The listed phone number is (940) 552-0552.

What is Randall Schaffner's specialty?

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

Is Randall Schaffner enrolled in Medicare?

Yes. Randall Schaffner 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.

Does Randall Schaffner hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0875110) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Randall Schaffner accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Randall Schaffner 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 Randall Schaffner affiliated with any hospitals?

According to CMS data, Randall Schaffner is affiliated with United Regional Health Care System and Wilbarger General Hospital.

When was this NPI record last updated?

The NPPES record for Randall Schaffner was last updated on August 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.