Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912903857 Individual Practitioner Female Practitioner

Dr. Annette V Shores , MD

Surgery • Mount Vernon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Annette Shores, MD is a registered healthcare professional specializing in Surgery in Mount Vernon, IL. Practice services are available at 2 GOOD SAMARITAN WAY under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare, colorectal cancer screening; colonoscopy on individual at high risk. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 Good Samaritan Way
Suite 235

Mount Vernon, IL 628642408

Telephone 6188993980
Fax 6188994793
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mount Vernon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Mount Vernon, IL (1624 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
122 107 $125.00 $69.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
97 95 $190.00 $103.53
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
53 52 $3200.00 $241.74
G0105 Colorectal cancer screening; colonoscopy on individual at high risk
50 50 $2040.00 $181.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
33 33 $185.00 $104.86
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
32 32 $1600.00 $84.85
91110 Imaging of digestive tract done from the inside of the digestive tract
27 24 $2496.30 $779.37
45378 Diagnostic exam of large bowel using a flexible endoscope
23 22 $2040.00 $159.77
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
23 22 $2040.00 $177.62
99202 New patient office or other outpatient visit, typically 20 minutes
22 22 $135.00 $72.32
45388 Destruction of polyp or growth of large bowel using a flexible endoscope
14 14 $3400.00 $279.48
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
13 12 $1725.00 $98.68
43450 Dilation of esophagus
11 11 $325.00 $40.50

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036093049

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036093049 (IL)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Fariahh Fazil , FNP-BC

Nurse Practitioner

NPI 1053954503

Family Nurse Practitioner (Board Certified)

Dr. Steven Clark , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1154353720

Doctor of Medicine (M.D.)

NPI 1235633389
NPI 1881031144

Doctor of Medicine (M.D.)

Dr. Peter Wong , MD

Surgery - Vascular Surgery

NPI 1952344509

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2014

Registered at 2 GOOD SAMARITAN WAY, SUITE 235, MOUNT VERNON, IL 628642408 (Tel: 6188993980)

📍
Updated Business Mailing Address January 08, 2014

Registered at 2 GOOD SAMARITAN WAY, SUITE 235, MOUNT VERNON, IL 628642408 (Tel: 6188993980)

👤
Provider Name / Credentials Updated January 08, 2014

Recorded as ANNETTE SHORES, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2014

Surgery (License #036093049 in IL)

🟢
Initial NPI Registration & Enumeration June 24, 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: 1912903857
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2005
Last Update: January 08, 2014
Sole Proprietor: No

Mailing Address

2 Good Samaritan Way, Suite 235

Mount Vernon, IL 628642408

Phone: 6188993980

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.