DR. THOMAS RAUBY SHAFFER PH.D.
NPI 1770749442
Clinical Neuropsychologist in Brookings, SD
NPI Status: Active since August 01, 2008
Contact Information
1310 MAIN AVE S
SUITE 9
BROOKINGS, SD
ZIP 57006
Phone: (605) 692-6367
Fax: (605) 692-1883
- Individual
- Male
- Years of Experience 25
- Clinical Neuropsychologist
- Accepts Insurance
- Accepts Medicare Approved Payment
About THOMAS SHAFFER
This page provides the complete NPI Profile along with additional information for Thomas Shaffer, a provider established in Brookings, South Dakota with a medical specialization in Clinical Neuropsychologist and more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1770749442 assigned on August 2008. The practitioner's primary taxonomy code is 103G00000X with license number 472 (SD). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1770749442
- Provider Name
- DR. THOMAS RAUBY SHAFFER PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1310 MAIN AVE S SUITE 9 BROOKINGS, SD 57006
- Location Phone
- (605) 692-6367
- Location Fax
- (605) 692-1883
- Mailing Address
- PO BOX 931 BROOKINGS, SD 57006
- Mailing Phone
- (605) 695-0651
- Mailing Fax
- (605) 692-1883
- Medical School Name
- OTHER
- Graduation Year
- 2001
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-01-2008
- Last Update Date
- 07-14-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 472
- License State
- SD
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Avera $1800 - PPO
- Avera $2000 - PPO
- Avera $4000 - PPO
- Avera $4500 - PPO
- Avera $6000 - PPO
- Avera $7500 HSA Eligible HDHP - PPO
- Avera $9200 - PPO
- Avera Standard $1500 - PPO
- Avera Standard $5000 - PPO
- Avera Standard $7500 - PPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - HMO
- Wellmark Bronze HDHP EPO HSA Qualified - EPO
- Wellmark Bronze Traditional EPO - EPO
- Wellmark Gold Traditional EPO - EPO
- Wellmark Silver Traditional EPO - EPO
- Wellmark Standard Bronze EPO - EPO
- Wellmark Standard Gold EPO - EPO
- Wellmark Standard Silver EPO - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6552660 | MEDICAID (05) | SD | |
| S102729 | OTHER (01) | MEDICARE PTAN/ID |
Medicare Participation & PECOS Enrollment Status
Thomas Shaffer is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 9234206467
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20081006000705
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of psychological or neuropsychological test by technician, each additional 30 minutes
Administration of psychological or neuropsychological test by technician, first 30 minutes
Administration of psychological or neuropsychological test, each additional 30 minutes
Administration of psychological or neuropsychological test, each additional 30 minutes
Administration of psychological or neuropsychological test, first 30 minutes
Administration of psychological or neuropsychological test, first 30 minutes
Evaluation of neuropsychological test, each additional hour
Evaluation of neuropsychological test, each additional hour
Evaluation of neuropsychological test, first hour
Evaluation of neuropsychological test, first hour
Exam of neurobehavioral status, first hour
Psychiatric diagnostic evaluation
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
This service was performed 88 times for 12 patientsThis procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
This service was performed 13 times for 13 patientsThis procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
This service was performed 58 times for 16 patientsThis procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
This service was performed 333 times for 45 patientsThis procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
This service was performed 17 times for 16 patientsThis procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
This service was performed 46 times for 46 patientsThis service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
This service was performed 24 times for 16 patientsThis service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
This service was performed 197 times for 57 patientsAn evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
This service was performed 17 times for 16 patientsAn evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
This service was performed 75 times for 60 patientsAn exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
This service was performed 20 times for 18 patientsA psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
This service was performed 58 times for 58 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Thomas Shaffer is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER | 1325 S CLIFF AVE SIOUX FALLS, SD 57117 | (605) 322-8000 | Acute Care Hospitals |
Reviews for DR. THOMAS RAUBY SHAFFER PH.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 7 | 4 | 9 | 4 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 14 | 4 | 18 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 4 + 4 + 1 + 8 + 4 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1770749442 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770749442, enumerated in the NPI registry as an "individual" on August 01, 2008
The provider is located at 1310 Main Ave S Suite 9 Brookings, Sd 57006 and the phone number is (605) 692-6367
The provider's speciality is Clinical Neuropsychologist with taxonomy code 103G00000X
The provider has more than 25 years of experience.
The provider might be accepting Accepts: Avera Health Plans, Sanford Health Plan, Wellmark. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Administration of psychological or neuropsychological test by technician, each additional 30 minutes, Administration of psychological or neuropsychological test by technician, first 30 minutes, Administration of psychological or neuropsychological test, each additional 30 minutes, Administration of psychological or neuropsychological test, each additional 30 minutes, Administration of psychological or neuropsychological test, first 30 minutes, Administration of psychological or neuropsychological test, first 30 minutes, Evaluation of neuropsychological test, each additional hour, Evaluation of neuropsychological test, each additional hour, Evaluation of neuropsychological test, first hour, Evaluation of neuropsychological test, first hour, Exam of neurobehavioral status, first hour and Psychiatric diagnostic evaluation.
The practitioner is affiliated to the following hospital(s): AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on August 01, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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