DR. BRIAN MICHAEL SHAFER M.D.
NPI 1982054433
Ophthalmology - Cornea and External Diseases Specialist in Plymouth Meeting, PA

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment
95.32/100
CMS Quality Rating
633 W GERMANTOWN PIKE STE 100, PLYMOUTH MEETING, PA 19462(484) 681-2305(215) 714-9711 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2023, Aug 18, 2021, Aug 10, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Brian Michael Shafer M.d. NPPES

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

DR. BRIAN MICHAEL SHAFER M.D. (NPI 1982054433) is an individual cornea and external diseases specialist in Plymouth Meeting, Pennsylvania, licensed in Pennsylvania (MD474851) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Temple Health - Chestnut Hill Hospital, and is a graduate of Temple University School Of Medicine (2016).

NPPES Registry Identity

NPI1982054433
Entity TypeIndividualMale
Primary Taxonomy207WX0120X
Provider Legal NameDR. BRIAN MICHAEL SHAFERCredential: M.D.
Location Address633 W GERMANTOWN PIKE STE 100Plymouth Meeting, PA 19462-1032
Mailing Address1104 Morton AlyKing Of Prussia, PA 19406-2492 · (267) 210-2169
Fax(215) 714-9711
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2016
Enumeration DateJune 15, 2016
Last NPPES UpdateJune 21, 20235 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
NPI 1982054433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Cornea and External Diseases SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0120X
License Licensed in PA · MD474851
Definition
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.
633 W GERMANTOWN PIKE STE 100, Plymouth Meeting, PA 19462

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. Brian Michael 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 ID5698106185
PECOS Enrollment IDI20210827002646
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 19

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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
213 services147 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
160 services93 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
160 services133 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 services99 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
132 services132 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
73 services68 patients

Hospital Affiliations CMS Care Compare

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

Temple Health - Chestnut Hill Hospital

Acute Care Hospitals · Philadelphia, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390026
Location8835 Germantown AvenuePhiladelphia, PA 19118 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19462 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

95.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.5
Promoting Interoperability100
Improvement Activities40

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.

Ophthalmology
633 W GERMANTOWN PIKE STE 100
PLYMOUTH MEETING, PA 19462
Optometrist
633 W GERMANTOWN PIKE STE 100
PLYMOUTH MEETING, PA 19462

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 Brian Shafer's NPI number?

The NPI number for Brian Shafer is 1982054433. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Brian Shafer located?

Brian Shafer practices at 633 W Germantown Pike Ste 100, Plymouth Meeting, PA 19462. The listed phone number is (484) 681-2305.

What is Brian Shafer's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Cornea and External Diseases Specialist, with taxonomy code 207WX0120X.

Is Brian Shafer enrolled in Medicare?

Yes. Brian 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.

What insurance does Brian Shafer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Brian Shafer 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 Brian Shafer affiliated with any hospitals?

According to CMS data, Brian Shafer is affiliated with Temple Health - Chestnut Hill Hospital.

When was this NPI record last updated?

The NPPES record for Brian Shafer was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.