Active NPI 1407855174 Individual Practitioner Female Practitioner

Dr. Starleen Celeste Schaffer , MD

Internal Medicine • Sebastian, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Starleen Schaffer, MD is a certified Internal Medicine practicing in Sebastian, FL. With approximately 30 years of clinical experience since graduating from State University Of New York At Buffalo School Of Medicine in 1996, Dr. Schaffer delivers high-quality medical care to the local community at 13000 US HIGHWAY 1.

Dr. Schaffer accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include chronic care management services, first, residence visit for established patient with high level of medical decision making, per day, if using time, at least, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13000 Us Highway 1
Suite 4

Sebastian, FL 329583773

Telephone 7723884000

Fax 7723884019

Associated Practice Facility / Clinic

🏢 Kirk E Maes M D P A Facility NPI 1689619587

Medicare Profile & Education

Medical School

State University Of New York At Buffalo School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Sebastian, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs -0.5 yrs vs City Avg

City Avg: 30.5 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

19 Specialists

Practicing in Sebastian, FL (10650 Statewide)

Telehealth Adoption Rate

42.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

11.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Schaffer (30 Years) 30 Yrs

Sebastian Specialty Average (30.5 Years) 30.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,216	253	$65.00	$63.13
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	1,084	248	$207.52	$184.78
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	851	242	$20.00	$16.42
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	551	211	$50.00	$48.37
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	303	134	$150.00	$134.85
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	104	56	$80.00	$72.78
93000 Routine ekg using at least 12 leads including interpretation and report	29	29	$43.45	$14.52
99497 Advance care planning, first 30 minutes	17	17	$90.00	$83.04
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	16	16	$234.38	$201.62
99495 Transitional care management services for problem of at least moderate complexity	15	15	$225.00	$207.50
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	14	14	$30.00	$16.82
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$175.00	$166.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	979	413	$136.00	$130.48
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	825	233	$66.80	$63.59
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	415	230	$200.00	$188.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	98	72	$181.00	$175.58
99213 Established patient office or other outpatient visit, typically 15 minutes	76	68	$99.00	$92.26
81002 Urinalysis, manual test	50	43	$20.00	$3.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	27	$35.00	$14.29
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	41	24	$15.00	$1.64
93000 Routine ekg using at least 12 leads including interpretation and report	27	25	$60.00	$14.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$262.00	$226.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$211.00	$171.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$75.00	$45.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,462	445	$136.00	$128.73
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	483	150	$200.00	$181.08
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	464	188	$67.06	$64.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	147	88	$35.00	$14.68
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	129	71	$15.00	$1.68
81002 Urinalysis, manual test	110	73	$20.09	$3.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	90	78	$181.00	$178.14
99213 Established patient office or other outpatient visit, typically 15 minutes	75	63	$99.00	$89.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	57	57	$262.00	$231.07
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	54	44	$56.65	$48.61
93000 Routine ekg using at least 12 leads including interpretation and report	51	45	$59.61	$15.01
99336 Established patient assisted living visit, typically 40 minutes	43	15	$175.58	$137.75
99337 Established patient assisted living visit, typically 60 minutes	37	16	$225.00	$198.13
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	31	23	$120.00	$108.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	20	$75.00	$54.98
J1885 Injection, ketorolac tromethamine, per 15 mg	20	20	$11.75	$0.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	1,291	383	$200.00	$183.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	710	343	$136.02	$118.69
99337 Established patient assisted living visit, typically 60 minutes	348	50	$225.00	$199.94
99213 Established patient office or other outpatient visit, typically 15 minutes	145	121	$99.00	$85.22
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	134	118	$150.00	$131.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	65	57	$181.00	$163.74
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	63	47	$120.00	$109.77
81002 Urinalysis, manual test	57	44	$20.00	$3.48
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	48	42	$75.00	$54.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$262.00	$233.76
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	29	29	$251.55	$225.97
99336 Established patient assisted living visit, typically 40 minutes	29	23	$175.00	$139.76
93000 Routine ekg using at least 12 leads including interpretation and report	25	24	$60.00	$15.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	16	$35.00	$14.61
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	17	13	$65.00	$42.75
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	16	14	$15.31	$2.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	1,697	460	$200.00	$179.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	486	298	$136.00	$102.83
99337 Established patient assisted living visit, typically 60 minutes	407	56	$225.00	$195.71
99213 Established patient office or other outpatient visit, typically 15 minutes	218	155	$99.17	$74.43
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	184	144	$149.89	$128.67
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	116	116	$232.50	$221.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	114	66	$35.00	$13.99
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	98	52	$15.00	$2.09
99336 Established patient assisted living visit, typically 40 minutes	97	41	$175.00	$135.55
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	62	52	$75.00	$53.43
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	58	43	$120.00	$107.74
81002 Urinalysis, manual test	51	45	$20.00	$3.42
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$262.00	$205.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	20	$181.00	$119.23
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	24	24	$240.00	$222.59
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	13	$65.00	$40.75
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$60.00	$17.25
J1885 Injection, ketorolac tromethamine, per 15 mg	16	16	$10.00	$0.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,332	427	$136.00	$112.14
99213 Established patient office or other outpatient visit, typically 15 minutes	659	309	$99.00	$76.67
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	225	82	$15.00	$1.79
99337 Established patient assisted living visit, typically 60 minutes	141	29	$225.00	$201.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	129	58	$35.00	$17.08
81002 Urinalysis, manual test	124	101	$20.00	$3.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	75	75	$262.00	$215.64
93000 Routine ekg using at least 12 leads including interpretation and report	47	44	$60.00	$17.71
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	40	29	$75.00	$54.96
J1885 Injection, ketorolac tromethamine, per 15 mg	31	25	$10.00	$0.51
90756 Vaccine for influenza for injection into muscle	19	18	$40.00	$26.13
G0008 Administration of influenza virus vaccine	18	18	$35.00	$17.00
99495 Transitional care management services for problem of at least moderate complexity	16	16	$200.00	$168.52
99496 Transitional care management services for problem of high complexity	13	13	$260.00	$238.26
94640 Inhalation treatment for airway obstruction or sputum production	13	13	$45.00	$18.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,534	439	$136.00	$105.09
99213 Established patient office or other outpatient visit, typically 15 minutes	540	272	$99.00	$71.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	272	124	$35.00	$19.83
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	243	103	$15.00	$1.94
81002 Urinalysis, manual test	233	143	$20.00	$3.41
99337 Established patient assisted living visit, typically 60 minutes	103	28	$225.00	$190.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	84	84	$262.00	$204.81
93000 Routine ekg using at least 12 leads including interpretation and report	82	77	$60.00	$16.71
99496 Transitional care management services for problem of high complexity	47	40	$260.00	$226.16
J1885 Injection, ketorolac tromethamine, per 15 mg	45	29	$10.00	$0.57
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	24	19	$65.00	$40.53
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	23	$75.00	$52.53
G0008 Administration of influenza virus vaccine	19	19	$35.00	$20.91
90756 Vaccine for influenza for injection into muscle	19	19	$40.00	$22.33
94640 Inhalation treatment for airway obstruction or sputum production	17	16	$45.00	$18.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	11	$181.00	$141.73
82962 Blood glucose (sugar) test performed by hand-held instrument	11	11	$15.00	$3.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,284	377	$136.00	$103.78
99213 Established patient office or other outpatient visit, typically 15 minutes	677	303	$99.12	$70.91
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	217	86	$65.00	$40.68
81002 Urinalysis, manual test	148	93	$20.00	$3.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	139	67	$35.00	$24.46
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	115	52	$15.00	$2.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	111	111	$262.00	$202.80
93000 Routine ekg using at least 12 leads including interpretation and report	57	56	$60.00	$16.61
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	46	45	$40.00	$18.76
G0008 Administration of influenza virus vaccine	45	44	$35.00	$25.99
99496 Transitional care management services for problem of high complexity	31	27	$260.00	$222.41
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	29	$75.00	$52.12
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	14	$65.00	$39.87
J1885 Injection, ketorolac tromethamine, per 15 mg	20	18	$10.00	$0.61
99337 Established patient assisted living visit, typically 60 minutes	19	11	$225.00	$187.17
82962 Blood glucose (sugar) test performed by hand-held instrument	16	15	$15.00	$3.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$181.00	$140.08
93225 Electrocardiogram (ecg) 2-day continuous	14	14	$43.00	$24.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$178.82	$163.86
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	13	13	$42.00	$25.75
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$108.85	$96.58
G0009 Administration of pneumococcal vaccine	13	13	$35.00	$25.99

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME81334

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare

110215939 (FL)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Kristina Losapio , ARNP

Nurse Practitioner - Adult Health

NPI 1215178405

Advanced Registered Nurse Practitioner

Dr. Kirk Maes , MD

Orthopaedic Surgery

NPI 1609818343

Doctor of Medicine (M.D.)

Sharon Hall , PT

Physical Therapist

NPI 1861568362

Physical Therapist

Dr. Carlos Vizcarra Pa , MD

Internal Medicine

NPI 1891729752

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 06, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 06, 2010

Registered at 13000 US HIGHWAY 1, SUITE 4, SEBASTIAN, FL 329583773 (Tel: 7723884000)

📍

Updated Business Mailing Address July 06, 2010

Registered at 13000 US HIGHWAY 1, SUITE 4, SEBASTIAN, FL 329583773 (Tel: 7723884000)

👤

Provider Name / Credentials Updated July 06, 2010

Recorded as STARLEEN SCHAFFER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2010

Internal Medicine (License #ME81334 in FL)

🟢

Initial NPI Registration & Enumeration July 15, 2005

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: 1407855174

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 15, 2005

Last Update: July 06, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

13000 Us Highway 1, Suite 4

Sebastian, FL 329583773

Phone: 7723884000

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.