LILLIAN SHADE SHAFFER (MMS, PA-C) – Medical Physician Assistant, NPI 1154075752
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for LILLIAN SHADE SHAFFER (MMS, PA-C)
3770 Ocoee Pl NW
Cleveland, TN 373125638
Phone: (423) 250-5551
Fax: (423) 250-5556
Type: Location
6145 SHALLOWFORD RD STE 102
CHATTANOOGA, TN 374217808
Phone: (423) 893-6890
Fax: (423) 648-1115
Type: Mailing
2005 EVANS LN NE
CULLMAN, AL 350582057
Phone: (662) 473-6293
Type: Mailing
117 2ND AVE SE
CULLMAN, AL 350553511
Phone: (256) 291-8877
Fax: (256) 500-9311
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 236 Open Payments records for all available years, with a total value of $5,551.
Total Amount is formed as General ($5,551) + Research ($0) + Ownership ($0) = $5,551.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,166).
Total Amount
$5,551
General + Research + Ownership
Payments
236
Total payment records
General Amount
$5,551
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,166 |
| Amgen Inc. | $774 |
| Janssen Biotech, Inc. | $629 |
| Lilly USA, LLC | $422 |
| Horizon Therapeutics plc | $294 |
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: 2025-06-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221013003144 | I | Physician Assistant | TN | TBD |
| I20250603003337 | I | Physician Assistant | AL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37312)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | AL | |
| Rheumatology, Internal Medicine | AL | |
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL |
Reviews
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