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Active NPI 1376544585 Individual Practitioner Male Practitioner

Brian Neal Shore , PA-C

Physician Assistant • Champaign, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brian Shore, PA-C is a certified Physician Assistant practicing in Champaign, IL. With approximately 23 years of clinical experience since completing medical education in 2003, Brian Shore delivers high-quality medical care to the local community at 2110 FOX DR.

Brian Shore is affiliated with Central Illinois Orthopedic Surgery Ii Llc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2110 Fox Dr

Champaign, IL 618207553

Telephone 2173661237
Associated Practice Facility / Clinic
🏢 Christie Clinic, Pllc Facility NPI 1871523829

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Champaign, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +7.6 yrs vs City Avg
City Avg: 15.4 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Champaign, IL (4958 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shore (23 Years) 23 Yrs
Champaign Specialty Average (15.4 Years) 15.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
630 97 $10.73 $0.97
99213 Established patient office or other outpatient visit, typically 15 minutes
227 133 $215.00 $73.74
20610 Aspiration and/or injection of fluid from large joint
202 97 $181.00 $49.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
174 123 $318.00 $104.23
73562 X-ray of knee, 3 views
107 73 $140.00 $9.47
73502 X-ray of hip, 2-3 views
78 51 $161.00 $9.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
52 52 $491.00 $136.77
73030 X-ray of shoulder, minimum of 2 views
41 34 $142.00 $8.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
25 25 $320.00 $91.11
72100 X-ray of lower and sacral spine, 2-3 views
21 21 $206.00 $9.84
20605 Aspiration and/or injection of medium joint or joint capsule
15 13 $194.00 $37.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
12 12 $413.00 $107.61

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085002428

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Group
434110 (IL)
Commercial Insurance / Payer ID Railroad Medicare
P00382778 (IL)

Hospital & Practice Group Affiliations

Central Illinois Orthopedic Surgery Ii Llc.

1505 Eastland Dr, Bloomington, IL 617013534

Phone: 3096622278

Central Illinois Orthopedic Surgery Ii Llc.

2200 E Washington St, Bloomington, IL 617014364

Phone: 3096622278

Central Illinois Orthopedic Surgery Ii Llc.

1304 Franklin Ave, Normal, IL 617613558

Phone: 3096622278

Central Illinois Orthopedic Surgery Ii Llc.

1505 Eastland Dr, Bloomington, IL 617017906

Phone: 3096622278

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Robert Cusick , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1184606790

Doctor of Medicine (M.D.)

Ryan Snowden , PA

Physician Assistant

NPI 1235414715

Physician Assistant

Macy Cialkowski , ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1306608138

Certified Athletic Trainer, Licensed Athletic Trainer

Dr. Olivia Martin , DPT

Physical Therapist

NPI 1336695550

Doctor of Physical Therapy

Emily Foertsch , NP

Nurse Practitioner - Family

NPI 1356897003

Nurse Practitioner

Dr. Morgan Moon , MD, PhD

Orthopaedic Surgery

NPI 1376063305

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2015

Registered at 2110 FOX DR, CHAMPAIGN, IL 618207553 (Tel: 2173661237)

📍
Updated Business Mailing Address March 17, 2015

Registered at 101 W UNIVERSITY AVE, CHAMPAIGN, IL 618203909 (Tel: 2173668107)

👤
Provider Name / Credentials Updated March 17, 2015

Recorded as BRIAN SHORE, PA C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2015

Physician Assistant (License #085002428 in IL)

🟢
Initial NPI Registration & Enumeration August 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376544585
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: March 17, 2015
Sole Proprietor: No

Mailing Address

101 W University Ave

Champaign, IL 618203909

Phone: 2173668107

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.