RONALD DEAN SHORE II PA-C
NPI 1083957740
Physician Assistant in Chicago, IL

Q: What is Ronald Shore's NPI number?

The NPI number for Ronald Shore is 1083957740. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Q: What is Ronald Shore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ronald Shore was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2013PECOS EnrolledAccepts Medicare Assignment

1701 W SUPERIOR ST, CHICAGO, IL 60622(312) 666-3494 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 27, 2024, May 13, 2024, Aug 11, 2021 and 2 more (5 updates tracked since 2019).

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About Ronald Dean Shore Ii Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONALD DEAN SHORE II PA-C (NPI 1083957740) is an individual physician assistant in Chicago, Illinois, licensed in California (56824) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2012).

NPPES Registry Identity

NPI1083957740

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameRONALD DEAN SHORE IICredential: PA-C

Location Address1701 W SUPERIOR STChicago, IL 60622-5646

Mailing Address1701 W Superior StChicago, IL 60622-5646 · (312) 666-3494 · Fax (312) 666-6228

Phone(312) 666-3494

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2012

Enumeration DateApril 1, 2013

Last NPPES UpdateDecember 27, 20245 updates tracked since enumeration

NPPES CertifiedDecember 27, 2024

✔ NPI 1083957740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in CA · 56824✔ Licensed in IL · 085004625

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1701 W SUPERIOR ST, Chicago, IL 60622

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ronald Dean Shore Ii Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183864515

PECOS Enrollment IDI20250317001101

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60622 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers12 claims22 services$2.99 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CAROLINE J TETER PA-C

Physician Assistant (Medical)