Dr. Sheldon S Shore , MD
Dermatology • Quincy, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sheldon Shore has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Sheldon Shore, MD was a registered Dermatology practicing in Quincy, IL. Throughout an active medical career spanning 16 years, Dr. Shore provided care at the practice location at 1025 MAINE ST until profile deactivation on 2022-02-04.
Historical Medicare Part B clinical services included established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
1025 Maine St
Quincy, IL 623014038
Specialty Benchmarks & Practice Insights
Comparative analytics for Dermatology in Quincy, IL
Practicing in Quincy, IL (673 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
806 | 559 | $177.16 | $70.27 |
|
17003
Destruction of precancer skin growth, 2-14 growths
|
317 | 110 | $22.05 | $5.36 |
|
17000
Destruction of skin growth
|
234 | 189 | $246.84 | $57.93 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
163 | 135 | $106.09 | $41.71 |
|
17110
Destruction of up to 14 skin growths
|
118 | 105 | $276.04 | $101.78 |
|
99202
New patient office or other outpatient visit, typically 20 minutes
|
117 | 117 | $180.25 | $71.94 |
|
99201
New patient office or other outpatient visit, typically 10 minutes
|
113 | 113 | $106.09 | $42.13 |
|
J7308
Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)
|
97 | 35 | $361.38 | $350.54 |
|
96567
Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session
|
69 | 35 | $341.96 | $123.71 |
|
11311
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
|
27 | 26 | $280.16 | $100.96 |
|
11302
Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
|
17 | 17 | $353.29 | $131.20 |
|
11301
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
|
14 | 14 | $299.73 | $110.52 |
|
11312
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
|
13 | 11 | $403.76 | $141.77 |
|
69100
Biopsy of ear
|
12 | 12 | $403.69 | $88.01 |
|
17262
Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
|
12 | 12 | $439.81 | $168.07 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 207N00000X
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Internal Medicine - Gastroenterology
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Counselor - Professional
Master of Science, Licensed Clinical Professional Counselor, Qualified Mental Health Professional
Physical Therapist
Doctor of Physical Therapy
Counselor - Professional
Master of Science in Education
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 04, 2022
NPI status registered as active in NPPES database
Registered at 1025 MAINE ST, QUINCY, IL 623014038 (Tel: 2172226550)
Registered at 1025 MAINE ST, QUINCY, IL 623014038 (Tel: 2172226550)
Recorded as SHELDON SHORE, MD
Dermatology (License #0366091914 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1025 Maine St
Quincy, IL 623014038
Phone: 2172226550
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