2026 NPPES data Otolaryngology Physician NPI 1033381801 M.D.
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MARCUS SHAFFER, M.D.

Otolaryngology Physician in CHARLESTON, West Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
121
Medicare Part D claims · 39 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
74%
generic claims · 26% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.1191/100
▲ 7 pts above national avg 83.1 · [object Object]

What the federal data shows

MARCUS SHAFFER, M.D. reported a CMS MIPS final score of 90.1191/100 — above the 83.1 national average — and filed 121 Medicare Part D claims in 2023.

90.1191/100
MIPS score · +7 vs avg
121
Part D claims, 2023
74%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

MARCUS SHAFFER, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

90 Top 40% higher than 60% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

MARCUS SHAFFER, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about MARCUS SHAFFER, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/01/2008

NPI 1033381801

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

121 76% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

90.1191/100 7.019100000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in West Virginia

How Otolaryngology Physician compares to other specialties among West Virginia providers

West Virginia providers

Otolaryngology Physician share within West Virginia

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within West Virginia

Medicare quality performance — MIPS

MARCUS SHAFFER, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician national average

High performer (top quartile)
MIPS Final Score
90.1191/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 90.1191/100 vs national avg 83.1

0%100%National avg83%90.1%
MIPS final score (Otolaryngology Physician) — 90.1191/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MARCUS SHAFFER, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 830 PENNSYLVANIA AVE, CHARLESTON, WV, 25302, with a listed phone of (304) 388-2950. NPI 1033381801 was issued on 04/01/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHAFFER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 121 prescription claims written by this provider, covering 39 Medicare beneficiaries and totaling roughly $8K in drug spend, split 26% brand-name and 74% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.1191/100 for the 2023 performance year (Quality 66.9698), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

830 PENNSYLVANIA AVE
CHARLESTON, WV 25302

Provider Details

NPI 1033381801
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 04/01/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

90.1191
Final Score
Avg: 83.1
66.9698
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MARCUS SHAFFER, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CHARLESTON AREA MEDICAL CENTER INC
CHARLESTON, WV

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

MARCUS SHAFFER, M.D. — brand share 26.0%
Specialty average (est.)

26% brand-name claims vs 74% generic, on 121 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

121
Total Claims
$8K
Total Drug Cost
39
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
123
Total Day Supply
1,196
Brand vs Generic
26% brand / 74% generic
Brand Drug Cost
$5K
Generic Drug Cost
$2K
Antibiotic Claims
18

Patient Demographics

Average Patient Age
66.4 years
Avg HCC Risk Score
1.87
Gender Split
36% female / 64% male
Age Distribution
<65: 11, 65-74: 20, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What MARCUS SHAFFER, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ciprofloxacin Hcl
29
Ofloxacin
22
Ciprodex
Ciprofloxacin Hcl/Dexameth
17
Dexamethasone Sodium Phosphate
14

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Otolaryngology Physician Overview

How MARCUS SHAFFER, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

MARCUS SHAFFER, M.D.'s 121 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as SHAFFER.

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARCUS SHAFFER, M.D.'s specialty?
MARCUS SHAFFER, M.D. specializes in Otolaryngology Physician and practices in CHARLESTON, West Virginia. Credentials: M.D..
How much does MARCUS SHAFFER, M.D. prescribe under Medicare Part D?
In 2023, MARCUS SHAFFER, M.D. wrote 121 Medicare Part D claims totaling $8K in drug costs for 39 beneficiaries.
What is MARCUS SHAFFER, M.D.'s Medicare quality score?
MARCUS SHAFFER, M.D. has a CMS MIPS Final Score of 90.1191/100 (Quality: 66.9698). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARCUS SHAFFER, M.D. located?
MARCUS SHAFFER, M.D. is located at 830 PENNSYLVANIA AVE, CHARLESTON, WV, 25302. Phone: (304) 388-2950.
What is MARCUS SHAFFER, M.D.'s NPI number?
MARCUS SHAFFER, M.D.'s National Provider Identifier (NPI) is 1033381801, issued on 04/01/2008.
Does MARCUS SHAFFER, M.D. prescribe more brand-name or generic drugs?
MARCUS SHAFFER, M.D.'s prescribing is 26% brand-name and 74% generic drugs by claim count, with $5K in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does MARCUS SHAFFER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARCUS SHAFFER, M.D.'s most frequently prescribed drugs include Ciprofloxacin Hcl, Ofloxacin, Ciprodex. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARCUS SHAFFER, M.D. accept Medicare?
MARCUS SHAFFER, M.D. appears in CMS Medicare data with 121 Part D claims and 39 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARCUS SHAFFER, M.D.'s credentials?
MARCUS SHAFFER, M.D.'s NPI is 1033381801 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology