Physician

Alan Edward Schaffer, MD

According to 2025 Medicare claims, Alan Schaffer, MD (NPI: 1255310678) practices pulmonary disease in the Albany-Schenectady-Troy, NY market, with the plurality of this provider's patient population coming from Albany, NY. This provider's primary affiliated billing organization is ST. PETER'S HOSPITAL OF THE CITY OF ALBANY (NPI: 1518042357; TIN: 141348692) and primary practice location at 12205-5531. Schaffer is affiliated with the Northwell Health ACO (ACO ID: A3030) and Trinity Health Integrated Care (ACO ID: A3454), participating under the MSSP model.

Schaffer's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 209 traditional Medicare patients, billed 561 HCPCS/CPT codes, and received $38,901 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 793 prescription claims across 178 beneficiaries totaling $225,586 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 2,299 claims. Open Payments data shows 8 records totaling $163. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has fallen sharply in recent years, from $280,621 to $38,901. Similarly, Part D prescription costs have fallen sharply in recent years, from $538,103 to $225,586. For DME billing, reported payments changed little.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	811	4,354	$280,621
2016	717	4,619	$252,081
2017	735	5,208	$276,896
2018	774	4,743	$265,032
2019	694	3,916	$239,891
2020	620	3,142	$210,243
2021	645	3,876	$249,525
2022	547	2,827	$183,656
2023	389	1,073	$67,799
2024	209	561	$38,901

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	240	2,505	$538,103
2016	259	2,386	$671,455
2017	317	2,866	$732,685
2018	332	3,152	$776,086
2019	321	3,044	$687,521
2020	308	3,164	$696,756
2021	299	3,053	$622,109
2022	314	3,127	$698,711
2023	305	1,767	$508,887
2024	178	793	$225,586

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	834	2,161	$132,781
2016	968	2,365	$138,007
2017	1,045	2,454	$127,203
2018	1,199	2,850	$155,722
2019	1,158	2,886	$147,236
2020	1,332	3,354	$151,268
2021	1,381	3,240	$158,997
2022	1,371	3,128	$164,824
2023	1,309	2,755	$116,113
2024	1,072	2,299	$94,544

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$95
95810	Sleep study in sleep lab (6 years or older)	41	41	$91
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	77	$84
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	123	218	$57
94060	Test to measure expiratory airflow and volume changes before and after medication administration	19	20	$28

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	45	2,790	$56,721
Breztri Aerosphere	Budesonide/Glycopyr/Formoterol	56	1,740	$36,039
Mounjaro	Tirzepatide	31	868	$31,191
Anoro Ellipta	Umeclidinium Brm/Vilanterol Tr	14	960	$14,358
Breo Ellipta	Fluticasone/Vilanterol	17	690	$9,141

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0601	Continuous positive airway pressure (cpap) device	Y	76	388	$14,008
A7032	Cushion for use on nasal mask interface, replacement only, each	N	74	148	$14,008
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$12,171
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	110	198	$10,678
A7030	Full face mask used with positive airway pressure device, each	N	55	106	$9,535

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	8	$163	AstraZeneca Pharmaceuticals LP
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

What Medicare data is available for Alan Edward Schaffer, MD?

Tedicare shows public-source Medicare data for Alan Edward Schaffer, MD (NPI 1255310678), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Alan Edward Schaffer, MD have ACO affiliation data?

Alan Edward Schaffer, MD is shown with ACO affiliation data for Northwell Health ACO (MSSP, ACO ID A3030) and Trinity Health Integrated Care (MSSP, ACO ID A3454).

What billing organization is linked to Alan Edward Schaffer, MD?

Alan Edward Schaffer, MD is linked to ST. PETER'S HOSPITAL OF THE CITY OF ALBANY (billing NPI 1518042357) in the available physician profile data.

Does Alan Edward Schaffer, MD have Open Payments data?

Alan Edward Schaffer, MD has 8 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.