SHAUN MICHAEL SHORE PA-C NPI 1649299710

NPI Information

  • NPI: 1649299710
  • Provider Name: SHAUN MICHAEL SHORE, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 960 CARIBOU DR
    PROSPER, TX
    ZIP 75078
  • Phone: (469) 343-6333

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NPI Details

Shaun Michael Shore, PA-C is a surgical physician assistant in Prosper, TX with 22 years of experience. Shaun Michael Shore, PA-C NPI is 1649299710. 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:

960 CARIBOU DR
PROSPER, TX
ZIP 75078-066
Phone: (469) 343-6333
Fax: (855) 299-6441

The NPI 1649299710 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, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)

The enumeration date for this NPI number is 7/19/2006 and was last updated on 9/12/2013.

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
1363AS0400XPhysician AssistantSurgicalPA04445TEXASYes

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
18G6721MEDICARE PINTEXAS
28N9577OTHERTEXASBCBS
3Q40502MEDICARE UPINTEXAS

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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