DR. TINA MARIE PISCITELLI-SHAFFER (D.O.) – Emergency Medicine Physician, NPI 1891946307

DR. TINA MARIE PISCITELLI-SHAFFER (D.O.) is a healthcare provider. based in Chardon, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 34.009796 (OH). The NPI Number for DR. TINA MARIE PISCITELLI-SHAFFER (D.O.) is 1891946307

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. TINA MARIE PISCITELLI-SHAFFER (D.O.)
NPI
1891946307
Phone
(440) 285-6184
Address
13207 RAVENNA RD
Enumeration Date
2 October 2008
Last Update Date
24 June 2013

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
2406862300
Graduation Year
2008 (18 years ago)
PAC ID
1355509209
Group Practice PAC ID
6406876002
Professional Enrollment ID
I20120222001085
Address ID
OH440247032CH13207RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

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Provider Addresses for DR. TINA MARIE PISCITELLI-SHAFFER (D.O.)

  • Ravenna Road, Chardon Township, Geauga County, Ohio, United States

    GEAUGA MEDICAL CENTER

    CHARDON, OH 440247032

    Phone: (440) 285-6184

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120222001085IEmergency MedicineOHTBD
I20230308000683IEmergency MedicineINTBD
I20230703002561IEmergency MedicineWITBD
I20240219000912IEmergency MedicinePATBD
I20240313000513IEmergency MedicineILTBD
I20240327000204IEmergency MedicineNYTBD
I20250602000399IEmergency MedicineMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making450419$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only203172$0
99284Emergency department visit with moderate level of medical decision making125123$0
99291Critical care, first 30-74 minutes5352$0
99283Emergency department visit with low level of medical decision making2222$0
View full utilization report →

Insurance plans in this area (ZIP 44024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406876002View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineOH
-OH
Nurse PractitionerOH
Emergency MedicineOH
Emergency MedicineOH
Emergency Medicine, Pediatric MedicineOH
Emergency MedicineOH
Emergency MedicineOH

Reviews

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Frequently asked questions

Does DR. TINA MARIE PISCITELLI-SHAFFER (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. TINA MARIE PISCITELLI-SHAFFER (D.O.) uses 1891946307.
Is DR. TINA MARIE PISCITELLI-SHAFFER (D.O.) listed as active for patients and plans?
The listing shows DR. TINA MARIE PISCITELLI-SHAFFER (D.O.) as active in the NPI system.
What taxonomy line describes DR. TINA MARIE PISCITELLI-SHAFFER (D.O.)?
For research purposes, treat DR. TINA MARIE PISCITELLI-SHAFFER (D.O.) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. TINA MARIE PISCITELLI-SHAFFER (D.O.) based?
DR. TINA MARIE PISCITELLI-SHAFFER (D.O.) is tied to Chardon, Ohio in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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