MR. BRIAN NEAL SHORE PA C
NPI 1376544585
Physician Assistant in Champaign, IL

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
2110 FOX DR, CHAMPAIGN, IL 61820(217) 366-1237 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Brian Neal Shore Pa C NPPES

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

MR. BRIAN NEAL SHORE PA C (NPI 1376544585) is an individual physician assistant in Champaign, Illinois, licensed in Illinois (085002428) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1376544585
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BRIAN NEAL SHORECredential: PA C
Location Address2110 FOX DRChampaign, IL 61820-7553
Mailing Address101 W University AveChampaign, IL 61820-3909 · (217) 366-8107
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 10, 2005
Last NPPES UpdateMarch 17, 2015
NPI 1376544585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085002428
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.
2110 FOX DR, Champaign, IL 61820

Other Identifiers 5

Medicare NSC0407950001IL
Other434110IL · Medicare Group
Medicare PINK36177IL
OtherP00382778IL · Railroad Medicare
Medicare UPINQ20277

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. Brian Neal Shore 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 ID8022081470
PECOS Enrollment IDI20070409000174
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.

Areas of Expertise CMS Part B claims 12

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
630 services97 patients
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.
227 services133 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
202 services97 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.
174 services123 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
107 services73 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
78 services51 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61820 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 11

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

Physical Therapy Assistant
2110 FOX DR
CHAMPAIGN, IL 61820
Physical Therapist
2110 FOX DR
CHAMPAIGN, IL 61820
Physical Therapist
2110 FOX DR
CHAMPAIGN, IL 61820
Physical Therapist
2110 FOX DR
CHAMPAIGN, IL 61820
Physical Therapy Assistant
2110 FOX DR
CHAMPAIGN, IL 61820
Orthopaedic Surgery
2110 FOX DR
CHAMPAIGN, IL 61820
Physical Therapist
2110 FOX DR
CHAMPAIGN, IL 61820
Orthopaedic Surgery (Sports Medicine)
2110 FOX DR
CHAMPAIGN, IL 61820

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 Brian Shore's NPI number?

The NPI number for Brian Shore is 1376544585. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Brian Shore located?

Brian Shore practices at 2110 Fox Dr, Champaign, IL 61820. The listed phone number is (217) 366-1237.

What is Brian Shore's specialty?

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

Is Brian Shore enrolled in Medicare?

Yes. Brian 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.

Is Brian Shore affiliated with any hospitals?

According to CMS data, Brian Shore is affiliated with St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Shore was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.