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MR. GREGG IAN SHORE MD
NPI 1235138983
Colon & Rectal Surgery in Sebring, FL

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment
4759 LAKEVIEW DR, STE 101, SEBRING, FL 33870(863) 402-5600(863) 402-5602 Get Directions Write a Review

NPPES record last updated: April 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2017, Dec 15, 2015 (2 updates tracked since 2015).

About Mr. Gregg Ian Shore Md NPPES

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

MR. GREGG IAN SHORE MD (NPI 1235138983) is an individual colon & rectal surgery provider in Sebring, Florida, licensed in Florida (ME91364) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1235138983
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameMR. GREGG IAN SHORECredential: MD
Location Address4759 LAKEVIEW DR, STE 101Sebring, FL 33870-2005
Mailing Address4759 Lakeview Dr, Ste 101Sebring, FL 33870-2005 · (863) 402-5600 · Fax (863) 402-5602
Phone(863) 402-5600
Fax(863) 402-5602
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 15, 2005
Last NPPES UpdateApril 9, 20172 updates tracked since enumeration
✔ NPI 1235138983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Licenses✔ Licensed in FL · ME91364✔ Licensed in KS · 0436711
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License ME91364 (FL)
4759 LAKEVIEW DR, Sebring, FL 33870
Open in Google Maps ↗

Other Identifiers 6

OtherP00603445FL · Medicare Railroad Provider Number
Medicare UPING57043FL
Medicaid279783600FL
Medicaid3710089TN
Medicare PINU3689YFL
Medicare PIN3710089TN

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

Mr. Gregg Ian Shore Md 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 ID9537122205
PECOS Enrollment IDI20041104000772
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 33870 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 3

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

FLORIDA LAKES ANESTHESIA LLC
Anesthesiology
4759 LAKEVIEW DR
SEBRING, FL 33870
Highlands County (863) 402-5600
DR. THOMAS C. LACKEY II D. O.
Surgery
4759 LAKEVIEW DR, STE 101
SEBRING, FL 33870
Highlands County (863) 402-5600
MR. MICHAEL R. HERNICZ CRNA
Nurse Anesthetist, Certified Registered
4759 LAKEVIEW DR, SUITE 103
SEBRING, FL 33870
Highlands County (863) 402-5600

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 Gregg Shore's NPI number?

The NPI number for Gregg Shore is 1235138983. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Gregg Shore located?

Gregg Shore practices at 4759 Lakeview Dr Ste 101, Sebring, FL 33870. The listed phone number is (863) 402-5600.

What is Gregg Shore's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Gregg Shore enrolled in Medicare?

Yes. Gregg 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.

When was this NPI record last updated?

The NPPES record for Gregg Shore was last updated on April 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.