MR. SAMUEL MARK SHORES FNP-BC
NPI 1992477020
Nurse Practitioner - Family in Matthews, NC

Active since September 28, 2021PECOS Enrolled
630 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105(704) 495-6020(844) 620-0793 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 27, 2023, Dec 8, 2021, Nov 8, 2021 and 1 more (4 updates tracked since 2021).

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About Mr. Samuel Mark Shores Fnp-bc NPPES

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

MR. SAMUEL MARK SHORES FNP-BC (NPI 1992477020) is a family provider in Matthews, North Carolina, licensed in North Carolina (5015329) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.Information from the official NPPES registry record, last updated January 27, 2023.

NPPES Registry Identity

NPI1992477020
Entity TypeIndividualMale
Provider Legal NameMR. SAMUEL MARK SHORESCredential: FNP-BC
Location Address630 MATTHEWS TOWNSHIP PKWYMatthews, NC 28105-5322
Mailing Address5960 Fairview Rd Ste 500Charlotte, NC 28210-3113 · (704) 495-6324
Fax(844) 620-0793
Sole ProprietorNo
Enumeration DateSeptember 28, 2021
Last NPPES UpdateJanuary 27, 2023
NPPES CertifiedJanuary 27, 2023
NPI 1992477020 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Nurse Practitioner · Family

Taxonomy 363LF0000X · Physician Assistants & Advanced Practice Nursing Providers

Licensed in NC · 5015329
630 MATTHEWS TOWNSHIP PKWY, Matthews, NC 28105

Also on File with NPPES

Other Identifiers1
1992477020 (Other, NC, 5015329)
Last updated in NPPES on January 27, 2023 · 4 updates tracked since enumeration.

Medicare Participation & PECOS Enrollment Status

Samuel Shores is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Automated urinalysis test

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

This service was performed 16 times for 16 patients

Blood test, basic group of blood chemicals (calcium, total)

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

This service was performed 16 times for 15 patients

Blood test, comprehensive group of blood chemicals

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

This service was performed 13 times for 13 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

This service was performed 17 times for 17 patients

Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b

This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.

This service was performed 23 times for 23 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more

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.

This service was performed 39 times for 39 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more

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.

This service was performed 151 times for 145 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 28105 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $83.9
  • Minimum New Patient Price $54.12
  • Maximum New Patient Price $165.09
  • Average New Patient Copayment $20.97
  • Minimum New Patient Copayment $13.53
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $95.94
  • Minimum Established Patient Price $17.21
  • Maximum Established Patient Price $134.61
  • Average Established Patient Copayment $23.98
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.65

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MR. SAMUEL MARK SHORES FNP-BC

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Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

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630 MATTHEWS TOWNSHIP PKWY
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Internal Medicine
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Nurse Practitioner (Adult Health)
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630 MATTHEWS TOWNSHIP PKWY
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Dermatology
630 MATTHEWS TOWNSHIP PKWY
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Internal Medicine
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Internal Medicine
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Physician Assistant
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992477020, enumerated as an "individual" on September 28, 2021.

The provider is located at 630 MATTHEWS TOWNSHIP PKWY MATTHEWS, NC 28105 and the phone number is (704) 495-6020.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.