BRETT I. SHORE MD
NPI 1578699989
Orthopaedic Surgery - Sports Medicine in Marina Del Rey, CA

Q: What is Brett Shore's NPI number?

The NPI number for Brett Shore is 1578699989. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Q: What is Brett Shore's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Brett Shore was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 27, 2007PECOS EnrolledAccepts Medicare Assignment

4551 GLENCOE AVE STE 145, MARINA DEL REY, CA 90292(888) 778-5000 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2024, Nov 29, 2021, Mar 23, 2017 (3 updates tracked since 2017).

On this page

About Brett I. Shore Md NPPES

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

BRETT I. SHORE MD (NPI 1578699989) is an individual sports medicine provider in Marina Del Rey, California, licensed in California (A120811) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2006).

NPPES Registry Identity

NPI1578699989

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameBRETT I. SHORECredential: MD

Location Address4551 GLENCOE AVE STE 145Marina Del Rey, CA 90292-6385

Mailing Address2009 Faymont AveManhattan Beach, CA 90266-4150 · (617) 686-7177

Phone(888) 778-5000

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2006

Enumeration DateFebruary 27, 2007

Last NPPES UpdateJuly 12, 20243 updates tracked since enumeration

NPPES CertifiedJuly 12, 2024

✔ NPI 1578699989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in CA · A120811

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

4551 GLENCOE AVE STE 145, Marina Del Rey, CA 90292

Open in Google Maps ↗

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

Brett I. 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 ID4284804998

PECOS Enrollment IDI20120917000741

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 5

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.

80 services49 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

52 services52 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

48 services48 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

31 services26 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.

17 services14 patients

Other Providers at the Same Location NPPES 13

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

LUKE MACYSZYN MD INC

Neurological Surgery