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

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: July 26, 2026.

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

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
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

Accepted 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.

Physician Assistant (Medical)
1701 W SUPERIOR ST
CHICAGO, IL 60622
Nurse Practitioner (Family)
1701 W SUPERIOR ST
CHICAGO, IL 60622
Nurse Practitioner (Family)
1701 W SUPERIOR ST
CHICAGO, IL 60622
Pediatrics
1701 W SUPERIOR ST
CHICAGO, IL 60622
Obstetrics & Gynecology
1701 W SUPERIOR ST
CHICAGO, IL 60622
Nurse Practitioner (Family)
1701 W SUPERIOR ST
CHICAGO, IL 60622
Nurse Practitioner (Family)
1701 W SUPERIOR ST
CHICAGO, IL 60622
Pediatrics
1701 W SUPERIOR ST
CHICAGO, IL 60622

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Ronald Shore located?

Ronald Shore practices at 1701 W Superior St, Chicago, IL 60622. The listed phone number is (312) 666-3494.

What is Ronald Shore's specialty?

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

Is Ronald Shore enrolled in Medicare?

Yes. Ronald Shore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ronald Shore accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Ronald Shore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ronald Shore was last updated on December 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.