Deactivated NPI 1417026055 Deactivated / Inactive NPI Male Practitioner

Mark E. Shaffrey

Neurological Surgery • Charlottesville, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mark Shaffrey has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2006

NPI Deactivation Date January 30, 2025

Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Mark Shaffrey was a registered Neurological Surgery practicing in Charlottesville, VA. Throughout an active medical career spanning 19 years, Mark Shaffrey provided care at the practice location at LEE ST until profile deactivation on 2025-01-30.

Historical Medicare Part B clinical services included established patient outpatient office visit, fusion of additional segment of spine, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

Lee St

Charlottesville, VA 229080001

Telephone 4349240000

Associated Practice Facility / Clinic

🏢 Rector & Visitors Of The University Of Virginia Facility NPI 1780746891

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Charlottesville, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.8 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

33 Specialists

Practicing in Charlottesville, VA (198 Statewide)

Telehealth Adoption Rate

21.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.3% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	42	$238.00	$63.07
22614 Fusion of additional segment of spine	41	13	$2016.00	$365.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$335.00	$93.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$299.00	$78.21
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$3930.00	$711.75
61783 Computer-assisted spinal procedure	11	11	$1365.00	$215.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	60	21	$2016.00	$382.40
99213 Established patient office or other outpatient visit, typically 15 minutes	41	40	$226.85	$65.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$299.00	$81.98
22842 Placement of stabilizing device to back, 3-6 spine bone segments	18	18	$3930.00	$746.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$331.53	$96.71
61783 Computer-assisted spinal procedure	15	15	$1365.00	$226.28
22612 Fusion of spine in lower back	11	11	$8165.00	$1569.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	64	$205.39	$66.76
22614 Fusion of additional segment of spine	41	14	$2016.00	$393.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$295.82	$83.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$299.67	$98.96
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$3930.00	$768.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	60	$196.20	$67.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$289.88	$83.35
22614 Fusion of additional segment of spine	21	12	$2016.00	$395.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$285.43	$100.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$119.21	$36.23
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	15	12	$1086.00	$261.60
22842 Placement of stabilizing device to back, 3-6 spine bone segments	14	13	$3930.00	$771.57
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$9518.00	$1882.30

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	87	78	$265.03	$79.67
22614 Fusion of additional segment of spine	61	14	$2003.00	$406.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$277.43	$77.21
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$189.22	$51.30
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	15	13	$686.00	$268.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$114.00	$26.46
22214 Incision of spine to correct deformity at lower spinal column	13	13	$7567.00	$957.54
22633 Fusion of spine in lower back with partial removal of spine bone and disc	11	11	$9438.00	$1920.28

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	149	120	$259.96	$78.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$266.26	$75.66
22614 Fusion of additional segment of spine	38	13	$2003.00	$392.53
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$179.31	$51.39
22214 Incision of spine to correct deformity at lower spinal column	11	11	$7567.00	$767.28

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	97	86	$254.29	$77.63
22614 Fusion of additional segment of spine	52	13	$2003.00	$379.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$257.11	$76.10
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$172.50	$49.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$103.00	$25.56
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$5608.00	$896.49

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	102	84	$250.00	$77.72
99213 Established patient office or other outpatient visit, typically 15 minutes	74	70	$171.00	$50.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$253.00	$74.62
22614 Fusion of additional segment of spine	43	20	$2206.60	$379.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$250.00	$75.12
22842 Placement of stabilizing device to back, 3-6 spine bone segments	22	21	$4216.73	$740.75
22214 Incision of spine to correct deformity at lower spinal column	19	19	$7175.74	$713.47
22216 Incision or removal of spine bone segment, each additional segment	17	12	$1780.88	$348.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$253.00	$75.79
22612 Fusion of spine in lower back	13	13	$8630.31	$1552.52
22633 Fusion of spine in lower back with partial removal of spine bone and disc	11	11	$9124.91	$1723.36

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License VA 0101043095

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Alexa West , RDN

Dietitian, Registered

NPI 1003459439

Registered Dietitian Nutritionist

John Cousar

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003985623

Kimberly Gahring

Nurse Practitioner - Acute Care

NPI 1013566033

Anthony Mccall

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1023187655

Thomas Brown

Orthopaedic Surgery

NPI 1033288659

James Sutphen

Pediatrics

NPI 1033288675

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated January 30, 2025

Record deactivated on January 30, 2025

✅

NPI Profile Active September 05, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 05, 2007

Registered at LEE ST, CHARLOTTESVILLE, VA 229080001 (Tel: 4349240000)

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Updated Business Mailing Address September 05, 2007

Registered at 500 RAY C HUNT DR, CHARLOTTESVILLE, VA 229032981

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Provider Name / Credentials Updated September 05, 2007

Recorded as MARK SHAFFREY

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2007

Neurological Surgery (License #0101043095 in VA)

🟢

Initial NPI Registration & Enumeration November 07, 2006

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: 1417026055

Entity Type:

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

Enumeration Date: November 07, 2006

Last Update: September 05, 2007

Deactivation Date: January 30, 2025

Update or Correct Profile

Mailing Address

500 Ray C Hunt Dr

Charlottesville, VA 229032981

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.