KELLY SHAFFER MD
NPI 1962681577
Family Medicine in Bend, OR

Q: What is Kelly Shaffer's NPI number?

The NPI number for Kelly Shaffer is 1962681577. It was assigned to this individual provider in the NPPES registry on October 31, 2007.

Q: What is Kelly Shaffer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Shaffer was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since October 31, 2007PECOS EnrolledAccepts Medicare Assignment

2500 NE NEFF RD, BEND, OR 97701(541) 706-6892(541) 706-6813 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2025, Oct 3, 2022, Nov 1, 2019 and 2 more (5 updates tracked since 2019).

On this page

About Kelly Shaffer Md NPPES

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

KELLY SHAFFER MD (NPI 1962681577) is an individual family medicine provider in Bend, Oregon, licensed in Kentucky (TP735) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Clark Regional Medical Center, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1962681577

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKELLY SHAFFERCredential: MD

Location Address2500 NE NEFF RDBend, OR 97701-6015

Mailing Address234 Goodman St, Mail Location 0796Cincinnati, OH 45219-2364

Phone(541) 706-6892

Fax(541) 706-6813

Sole ProprietorYes

Medical School CMSVanderbilt University School Of MedicineGraduated 2007

Enumeration DateOctober 31, 2007

Last NPPES UpdateApril 7, 20255 updates tracked since enumeration

NPPES CertifiedApril 7, 2025

✔ NPI 1962681577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · TP735

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.

2500 NE NEFF RD, Bend, OR 97701

Open in Google Maps ↗

Secondary Practice Location 1

Location 12195 Harrodsburg Rd Ste 125Lexington, KY 40504-3504 · Phone (859) 323-6711

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Kelly 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 ID2668804253

PECOS Enrollment IDI20191120001742, I20221214002007

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 Reassignments

Medicare enrollment records show Kelly Shaffer reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Charles Health System, Inc.

Same address

Rehabilitation Unit

2500 NE NEFF RD
Bend, OR 97701

Reassigned Medicare billing, Oregon enrollment
307 clinicians in this Medicare group

NPI 1154343150 (541) 382-4321

Baptist Health Medical Group Inc

1,925 mi

Internal Medicine

1001 LEAWOOD DR
Frankfort, KY 40601

Reassigned Medicare billing, Kentucky enrollment
999 clinicians in this Medicare group

NPI 1629740774 (502) 223-0231

24 On Physicians, PC

1,946 mi

Hospitalist

217 S 3RD ST
Danville, KY 40422

Reassigned Medicare billing, Kentucky enrollment
89 clinicians in this Medicare group

NPI 1679522346 (800) 923-2247

Kentucky Medical Services Foundation, Inc

1,951 mi

Internal Medicine

2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
1,502 clinicians in this Medicare group

NPI 1326091448 (859) 257-7910

Kentucky Hospitalist Group, PLLC

1,953 mi

Hospitalist

3117 AYLESBURY CIR
Lexington, KY 40509

Reassigned Medicare billing, Kentucky enrollment
10 clinicians in this Medicare group

NPI 1558954776 (859) 948-8430

Clark Regional Physician Practices LLC

1,963 mi

Surgery

225 HOSPITAL DRIVE SUITE 200B
Winchester, KY 40391

Reassigned Medicare billing, Kentucky enrollment
88 clinicians in this Medicare group

NPI 1073864559 (859) 737-9900

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 4

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.

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.

127 services61 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

59 services51 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

22 services22 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY

3/5 CMS rating

OwnershipProprietary

CMS Certification Number180092

Location175 Hospital DriveWinchester, KY 40391 · Clark County

Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97701 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 5

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers14 claims14 services$52.44 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier19 claims19 services$21.28 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

1 supplier65 claims65 services$111.63 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier53 claims53 services$35.89 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$210.00 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 20

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

ALANNA MOZENA MD

Internal Medicine