MICHAEL D SHAFFER (DO) – Family Medicine Physician, NPI 1417949983

MICHAEL D SHAFFER (DO) is a healthcare provider. based in Decatur, Texas. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials DO. They hold a License No. 34-009337 (OH). The NPI Number for MICHAEL D SHAFFER (DO) is 1417949983

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL D SHAFFER (DO)
NPI
1417949983
Phone
Not provided
Address
PO BOX 2078
Enumeration Date
19 August 2005
Last Update Date
14 June 2023

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8302587090
Graduation Year
2001 (25 years ago)
PAC ID
0648239574
Group Practice PAC ID
1355467887
Professional Enrollment ID
I20041006001342
Address ID
TX780289535KE1331XHWYX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for MICHAEL D SHAFFER (DO)

  • 2078, Hairston Creek Parkway, Kings Ridge, Decatur, DeKalb County, Georgia, 30035, United States

    DECATUR, TX 762346156

    Phone:

    Type: Mailing

  • 2202 US HIGHWAY 380 STE 112

    BRIDGEPORT, TX 764262177

    Phone: (940) 683-0347

    Fax: (940) 683-3804

    Type: Location

  • 575 HILL COUNTRY DR

    KERRVILLE, TX 780286024

    Phone:

    Type: Mailing

  • 1331 BANDERA HWY STE 4

    KERRVILLE, TX 780289535

    Phone: (830) 258-7762

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $373.

Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($67).

Total Amount

$373

General + Research + Ownership

Payments

19

Total payment records

General Amount

$373

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20041006001342IFamily PracticeTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes277176$0
99214Established patient office or other outpatient visit, 30-39 minutes150123$0
36415Insertion of needle into vein for collection of blood sample11592$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7777$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg6216$0
View full utilization report →

Insurance plans in this area (ZIP 76234)

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Provider's Procedures

MICHAEL D SHAFFER (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX83036Hemoglobin A1C level2421

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: 1355467887View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
O B S T E T R I C S/ G Y N E C O L O G YTX
Certified Nurse Midwife (Cnm)TX
Internal Medicine, Geriatric MedicineKS
Internal Medicine, GastroenterologyTX
Physician AssistantTX

Reviews

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Frequently asked questions

What is MICHAEL D SHAFFER (DO)'s NPI number?
MICHAEL D SHAFFER (DO)'s NPI is 1417949983 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MICHAEL D SHAFFER (DO)?
You should see MICHAEL D SHAFFER (DO) as active in CMS-hosted NPPES data.
What clinical focus is listed for MICHAEL D SHAFFER (DO)?
At a glance, MICHAEL D SHAFFER (DO) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is MICHAEL D SHAFFER (DO) registered?
Use Decatur, Texas as the headline location for MICHAEL D SHAFFER (DO) here.
Does MICHAEL D SHAFFER (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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