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Active NPI 1114084316 Individual Practitioner Male Practitioner

John J Shaff , PA-C

Physician Assistant • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

John Shaff, PA-C is a registered healthcare professional specializing in Physician Assistant in Phoenix, AZ. Practice services are available at 16611 S. 40TH ST under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, tangential biopsy of single skin lesion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16611 S. 40th St
Suite 100

Phoenix, AZ 85048

Telephone 4806106366
Fax 4808331653
Associated Practice Facility / Clinic
🏢 Toni C Stockton Md Pllc Facility NPI 1053373233

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
938 Specialists

Practicing in Phoenix, AZ (3711 Statewide)

Telehealth Adoption Rate
14.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
354 67 $10.08 $4.68
99213 Established patient office or other outpatient visit, typically 15 minutes
249 202 $108.03 $61.91
11102 Tangential biopsy of single skin lesion
119 112 $151.37 $77.42
17000 Destruction of skin growth
106 97 $99.89 $39.78
11103 Biopsy of related skin growth, each additional growth
79 51 $81.63 $44.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
60 60 $160.58 $90.19
17110 Destruction of up to 14 skin growths
28 28 $168.65 $90.36
17004 Destruction of precancer skin growth, 15 or more growths
25 22 $229.31 $126.73
13101 Complicated repair of wound of trunk, 2.6-7.5 cm
12 12 $600.90 $306.42

Medical Specialties & State Licenses

CMS Verified: 2020-04-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 3149

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Healthnet
3Z3955 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Tara Becher , PA-C

Physician Assistant

NPI 1033532692

Physician Assistant (Certified)

Patricia Hultgren , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1518582477

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Amy West , PA-C

Physician Assistant - Medical

NPI 1548246903

Physician Assistant (Certified)

Alison Peterson , PA-C

Physician Assistant - Medical

NPI 1659604247

Physician Assistant (Certified)

Dr. Toni Stockton , MD

Dermatology - Dermatopathology

NPI 1972565109

Doctor of Medicine (M.D.)

Laurie Evans , NP-C

Nurse Practitioner - Family

NPI 1992646756

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 22, 2020

Registered at 16611 S. 40TH ST, SUITE 100, PHOENIX, AZ 85048 (Tel: 4806106366)

📍
Updated Business Mailing Address April 22, 2020

Registered at 16611 S. 40TH ST, SUITE 100, PHOENIX, AZ 85048 (Tel: 4806106366)

👤
Provider Name / Credentials Updated April 22, 2020

Recorded as JOHN SHAFF, PA-C

📍
Updated Business Mailing Address October 19, 2018

Registered at 20401 N 73RD ST, STE 230, SCOTTSDALE, AZ 852554153 (Tel: 4805560446)

NPI Profile Active April 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2016

Registered at 690 N COFCO CENTER CT, SUITE 190, PHOENIX, AZ 850086462 (Tel: 6023931010)

📍
Updated Business Mailing Address April 12, 2016

Registered at 690 N COFCO CENTER CT, SUITE190, PHOENIX, AZ 850086462 (Tel: 6028127520)

👤
Provider Name / Credentials Updated April 12, 2016

Recorded as JOHN SHAFF, P.A.-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2016

Physician Assistant (License #3149 in AZ)

🟢
Initial NPI Registration & Enumeration January 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114084316
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2007
Last Update: April 22, 2020
Sole Proprietor: No

Mailing Address

16611 S. 40th St, Suite 100

Phoenix, AZ 85048

Phone: 4806106366

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.