RONALD SHORE M.D.
NPI 1144258757
Dermatology in Rockville, MD

Active since June 30, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 21D0687310 · Certificate of Compliance
0/100
CMS Quality Rating
4701 RANDOLPH RD, SUITE 201, ROCKVILLE, MD 20852(410) 872-9188 Get Directions Write a Review

NPPES record last updated: October 19, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ronald Shore M.d. NPPES

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

RONALD SHORE M.D. (NPI 1144258757) is an individual dermatology provider in Rockville, Maryland, licensed in Maryland (D20596) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through November 1, 2027, and is a graduate of Other (1970).

NPPES Registry Identity

NPI1144258757
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameRONALD SHORECredential: M.D.
Location Address4701 RANDOLPH RD, SUITE 201Rockville, MD 20852-2257
Mailing Address4701 Randolph Rd, Suite 201Rockville, MD 20852-2257 · (410) 872-9188
Sole ProprietorNo
Medical School CMSOtherGraduated 1970
Enumeration DateJune 30, 2006
Last NPPES UpdateOctober 19, 2007
NPI 1144258757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MD · D20596
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4701 RANDOLPH RD, Rockville, MD 20852

Other Identifiers 6

Other6792001DC · Carefirst Bcbsdc
Medicare ID-Type UnspecifiedG02035R01DC · Dc Medicare
Medicare PING02035DC
Other52494004MD · Carefirst Bcbs Md
Medicare ID-Type UnspecifiedH766R084MD
Medicare UPINC62047MD

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 Shore M.d. 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 ID2567408842
PECOS Enrollment IDI20050708000284
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 21D0687310

Ronald N Shore MD · Rockville, MD
Active · expires Nov 1, 2027
CLIA Number21D0687310
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorRonald N. Shore MD
Laboratory Phone(301) 468-2100
Laboratory LocationRonald N Shore MD4701 Randolph Road Ste 207, Rockville, MD 20852
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
802 services313 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
654 services377 patients
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301
This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.
182 services112 patients
Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm 11302
This procedure involves the careful removal of a skin growth on your body, arms, or legs. The growth is between 1.1 and 2.0 cm. A special tool is used to shave off the growth, which is a quick and relatively painless process.
158 services101 patients
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 11311
This procedure involves removing a small skin growth on the face or related areas like the ears, eyelids, nose, lips, or mouth. The growth is gently shaved off, typically under local anesthesia. It's a quick, safe process for growths between 0.6-1.0 cm in size.
127 services75 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
125 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20852 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

Psychiatry & Neurology (Neurology)
4701 RANDOLPH RD, SUITE 102
ROCKVILLE, MD 20852
Specialist
4701 RANDOLPH RD, SUITE 216
ROCKVILLE, MD 20852
Clinic/Center (Rehabilitation)
4701 RANDOLPH RD, 105
ROCKVILLE, MD 20852
Pharmacist
4701 RANDOLPH RD, SUITE G-4
ROCKVILLE, MD 20852
Pharmacy (Community/Retail Pharmacy)
4701 RANDOLPH RD, SUITE G-4
ROCKVILLE, MD 20852
Podiatrist (Foot & Ankle Surgery)
4701 RANDOLPH RD, SUITE 115
ROCKVILLE, MD 20852
Physical Therapist
4701 RANDOLPH RD, SUITE G-1
ROCKVILLE, MD 20852
Dentist (General Practice)
4701 RANDOLPH RD, SUITE 110
ROCKVILLE, MD 20852

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 1144258757. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Ronald Shore located?

Ronald Shore practices at 4701 Randolph Rd Suite 201, Rockville, MD 20852. The listed phone number is (410) 872-9188.

What is Ronald Shore's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

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.

Does Ronald Shore hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 21D0687310) is associated with this NPI, valid through November 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ronald Shore was last updated on October 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.