CAROLYN M. SHORE M.D.
NPI 1831285444
Internal Medicine in San Rafael, CA

Q: What is Carolyn Shore's NPI number?

The NPI number for Carolyn Shore is 1831285444. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Carolyn Shore's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Shore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 04, 2006PECOS Enrolled

920 GRAND AVE, MARIN COUNTY HEALTH CLINICS, SAN RAFAEL, CA 94901(415) 499-6841(415) 499-6855 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Carolyn M. Shore M.d. NPPES

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

CAROLYN M. SHORE M.D. (NPI 1831285444) is an individual internal medicine provider in San Rafael, California, licensed in California (G060321) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831285444

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameCAROLYN M. SHORECredential: M.D.

Location Address920 GRAND AVE, MARIN COUNTY HEALTH CLINICSSan Rafael, CA 94901-3506

Mailing Address920 Grand Ave, Marin County Health ClinicsSan Rafael, CA 94901-3506 · (415) 499-6841 · Fax (415) 499-6855

Phone(415) 499-6841

Fax(415) 499-6855

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1831285444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · G060321

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

920 GRAND AVE, San Rafael, CA 94901

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Other Identifiers 3

Medicare ID-Type Unspecified00G603210CA

Medicare UPINF22671CA

Medicaid00G603210CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn M. Shore M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94901 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

$154.04 typical visit price

range $69.07 – $202.63

Typical copayment $38.51 (range $17.26 – $50.65)

Most-billed visit code 99204

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers34 claims91 services$5.01 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers14 claims18 services$0.70 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier16 claims16 services$198.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

GINA GOMEZ

Community Health Worker