ANDREW B. SHAFFER – Rheumatology Physician, NPI 1104359561
Rheumatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
53 RHEUMATOLOGY in UT
Provider Addresses for ANDREW B. SHAFFER
30 N 1900 E RM 4B200
SALT LAKE CITY, UT 841320002
Phone: (801) 581-7724
Type: Mailing
625 19th St S
Birmingham, AL 352331900
Phone: (205) 934-2490
Type: Location
30 N 1900 E Rm 4B200
Salt Lake City, UT 841320002
Phone: (801) 581-7724
Type: Location
9964 S 610 E
SANDY, UT 840703810
Phone: (703) 400-8757
Type: Mailing
2600 NE NEFF RD
BEND, OR 977016337
Phone: (541) 706-7735
Fax: (541) 706-4806
Type: Location
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: 2022-08-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220823001950 | I | Rheumatology | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3111 | Injection, romosozumab-aqqg, 1 mg | 10,084 | 22 | $0 |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 3,340 | 11 | $0 |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 3,200 | 13 | $0 |
| J0897 | Injection, denosumab, 1 mg | 2,220 | 34 | $0 |
| J3489 | Injection, zoledronic acid, 1 mg | 356 | 72 | $0 |
Insurance plans in this area (ZIP 84132)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Rheumatology, Internal Medicine | OR | |
| Nurse Practitioner | OR | |
| Registered Dietitian Or Nutrition Professional | OR | |
| - | NM | |
| Nurse Practitioner | MD |
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