1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Family Medicine
  6. NPI Profile

MATTHEW D SHORES MD
NPI 1861513889
Family Medicine in Phoenix, AZ

Active since April 03, 2007PECOS Enrolled
5747 N 12TH PL, PHOENIX, AZ 85014(480) 414-9868 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew D Shores Md NPPES

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

MATTHEW D SHORES MD (NPI 1861513889) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (36166) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861513889
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW D SHORESCredential: MD
Location Address5747 N 12TH PLPhoenix, AZ 85014-2328
Mailing Address5747 N 12th PlPhoenix, AZ 85014-2328 · (480) 414-9868
Phone(480) 414-9868
Sole ProprietorNo
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
✔ NPI 1861513889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 36166
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5747 N 12TH PL, Phoenix, AZ 85014
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew D Shores Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Matthew Shores reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Madison Medical Partners, LLC
3.1 mi
Family Medicine
911 W LAS PALMARITAS DR
Phoenix, AZ 85021
  • Reassigned Medicare billing, Arizona enrollment
  • 8 clinicians in this Medicare group
NPI 1730790080 (602) 505-0667
Grand Canyon University
4.4 mi
Family Medicine
3300 W CAMELBACK RD, HEALTH CENTER
Phoenix, AZ 85017
  • Reassigned Medicare billing, Arizona enrollment
  • 4 clinicians in this Medicare group
NPI 1124501069 (602) 639-6215

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85014 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Matthew Shores's NPI number?

The NPI number for Matthew Shores is 1861513889. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Matthew Shores located?

Matthew Shores practices at 5747 N 12th Pl, Phoenix, AZ 85014. The listed phone number is (480) 414-9868.

What is Matthew Shores's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Shores enrolled in Medicare?

Yes. Matthew Shores is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Matthew Shores's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Shores reassigns Medicare benefits to 2 organizations: Madison Medical Partners, LLC (Phoenix, AZ) and Grand Canyon University (Phoenix, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Shores's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Shores accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. and 1 other insurer list Matthew Shores as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Shores was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.