MR. GREGG IAN SHORE MD NPI 1235138983

NPI Information

  • NPI: 1235138983
  • Provider Name: MR. GREGG IAN SHORE, MD
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4759 LAKEVIEW DR
    STE 101
    SEBRING, FL
    ZIP 33870
  • Phone: (863) 402-5600

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NPI Details

MR. Gregg Ian Shore, MD is a colon rectal surgery in Sebring, FL with 37 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. MR. Gregg Ian Shore, MD NPI is 1235138983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4759 LAKEVIEW DR
STE 101
SEBRING, FL
ZIP 33870-005
Phone: (863) 402-5600
Fax: (863) 402-5602

The NPI 1235138983 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Injection of chemical agent into single incompetent vein of leg using ultrasound guidance (HCPCS:36465)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Chemical destruction of first incompetent vein of arm or leg using imaging guidance (HCPCS:36482)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance (HCPCS:36466)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 7/15/2005 and was last updated on 4/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryME91364FLORIDANo
2208C00000XColon & Rectal Surgery0436711KANSASNo
3208C00000XColon & Rectal SurgeryME91364FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00603445OTHERFLORIDAMEDICARE RAILROAD PROVIDER NUMBER
2G57043MEDICARE UPINFLORIDA
3279783600MEDICAIDFLORIDA
43710089MEDICAIDTENNESSEE
5U3689YMEDICARE PINFLORIDA
63710089MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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