JENNY LYNNE SHAFFER M.D. NPI 1073838322

NPI Information

  • NPI: 1073838322
  • Provider Name: JENNY LYNNE SHAFFER, M.D.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10010 KENNERLY ROAD
    ATTN CANCER CARE CENTER
    ST LOUIS, MO
    ZIP 63128
  • Phone: (314) 525-1688

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NPI Details

Jenny Lynne Shaffer, M.D. is a radiation oncology radiology in St Louis, MO with 18 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Jenny Lynne Shaffer, M.D. NPI is 1073838322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

10010 KENNERLY ROAD
ATTN CANCER CARE CENTER
ST LOUIS, MO
ZIP 63128-106
Phone: (314) 525-1688
Fax: (314) 525-1689

The NPI 1073838322 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment (HCPCS:G6017)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Complex radiation therapy planning (HCPCS:77263)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • 3d radiation therapy planning (HCPCS:77295)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Special radiation treatment (HCPCS:77470)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • High precision radiation therapy planning (HCPCS:77301)
  • Obtaining respiratory data needed to develop the optimal radiation treatment (HCPCS:77293)
  • Management of cranial lesion surgery using radiation over multiple sessions (HCPCS:77435)
  • Complex radiation therapy planning for delivery of external radiation (HCPCS:77307)

The enumeration date for this NPI number is 3/30/2010 and was last updated on 4/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation Oncology2017014159MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11073838322MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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