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BRANDON MATTHEW SHORE MD
NPI 1922628411
Internal Medicine - Gastroenterology in Farmington, CT

Active since April 24, 2020PECOS EnrolledAccepts Medicare Assignment
21 SOUTH RD STE 100, FARMINGTON, CT 06032(860) 409-4567(860) 409-4846 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2026, Apr 24, 2020 (2 updates tracked since 2020).

About Brandon Matthew Shore Md NPPES

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

BRANDON MATTHEW SHORE MD (NPI 1922628411) is an individual gastroenterology provider in Farmington, Connecticut, licensed in Connecticut (84122) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2020).

NPPES Registry Identity

NPI1922628411
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameBRANDON MATTHEW SHORECredential: MD
Location Address21 SOUTH RD STE 100Farmington, CT 06032-2482
Mailing Address30 Waterchase DrRocky Hill, CT 06067-2110 · (860) 257-4131 · Fax (860) 457-4519
Phone(860) 409-4567
Fax(860) 409-4846
Sole ProprietorYes
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2020
Enumeration DateApril 24, 2020
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1922628411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CT · 84122
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
21 SOUTH RD STE 100, Farmington, CT 06032
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brandon Matthew 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 ID6204257066
PECOS Enrollment IDI20260811004237
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 Reassignment

Medicare enrollment records show Brandon Shore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Connecticut Gi PLLC
6.4 mi
Gastroenterology
85 SEYMOUR ST, 1000
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 417 clinicians in this Medicare group
NPI 1023124625 (860) 246-2571

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 06032 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES

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

DR. BRISAS MARIE FLORES TRUNCALI M.D.
Internal Medicine (Gastroenterology)
21 SOUTH RD STE 100
FARMINGTON, CT 06032
Capitol Planning Region (860) 409-4567

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 Brandon Shore's NPI number?

The NPI number for Brandon Shore is 1922628411. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Brandon Shore located?

Brandon Shore practices at 21 South Rd Ste 100, Farmington, CT 06032. The listed phone number is (860) 409-4567.

What is Brandon Shore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Brandon Shore enrolled in Medicare?

Yes. Brandon 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.

Which organization bills Medicare for Brandon Shore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Shore reassigns Medicare benefits to Connecticut Gi PLLC (Hartford, CT). The 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 Brandon Shore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brandon Shore was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.