MICHAEL SHORE NP
NPI 1285068940
Nurse Practitioner in Kettering, OH

Q: What is Michael Shore's NPI number?

The NPI number for Michael Shore is 1285068940. It was assigned to this individual provider in the NPPES registry on August 29, 2013.

Q: What is Michael Shore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Shore was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 29, 2013PECOS EnrolledAccepts Medicare Assignment

4750 HEMPSTEAD STATION DR, KETTERING, OH 45429(800) 875-0136(937) 619-4150 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael Shore Np NPPES

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

MICHAEL SHORE NP (NPI 1285068940) is an individual nurse practitioner in Kettering, Ohio, licensed in Ohio (COA.15057-NP) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2013).

NPPES Registry Identity

NPI1285068940

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMICHAEL SHORECredential: NP

Location Address4750 HEMPSTEAD STATION DRKettering, OH 45429-5164

Mailing Address3000 Hospital DrBatavia, OH 45103-1921 · (513) 732-8200 · Fax (937) 619-4150

Phone(800) 875-0136

Fax(937) 619-4150

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2013

Enumeration DateAugust 29, 2013

✔ NPI 1285068940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · COA.15057-NP

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4750 HEMPSTEAD STATION DR, Kettering, OH 45429

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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

Michael Shore Np 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 ID8729213871

PECOS Enrollment IDI20131028001343

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 45429 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

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

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Other Providers at the Same Location NPPES 19

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

FRED L TANZER

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