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Active NPI 1285068940 Individual Practitioner Male Practitioner

Michael Shore , NP

Nurse Practitioner • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Shore, NP is a certified Nurse Practitioner practicing in Kettering, OH. With approximately 13 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2013, Michael Shore delivers high-quality medical care to the local community at 4750 HEMPSTEAD STATION DR.

Michael Shore is affiliated with Emergency Medicine Physicians Of Cincinnati Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4750 Hempstead Station Dr

Kettering, OH 454295164

Telephone 8008750136
Fax 9376194150
Associated Practice Facility / Clinic
🏢 Fred L Tanzer Facility NPI 1033377718

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Kettering, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +2.7 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
24 Specialists

Practicing in Kettering, OH (4294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shore (13 Years) 13 Yrs
Kettering Specialty Average (10.3 Years) 10.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
53 53 $946.20 $96.92
99283 Emergency department visit with low level of medical decision making
23 23 $498.75 $52.05
99285 Emergency department visit for life threatening or functioning severity
17 17 $1396.50 $145.49
99291 Critical care, first 30-74 minutes
12 12 $1801.20 $174.13

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH COA.15057-NP

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Emergency Medicine Physicians Of Cincinnati Ltd

3300 Mercy Health Blvd, Cincinnati, OH 452111103

Phone: 5132151114

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Zena Jalloh , MD

Emergency Medicine

NPI 1083841357

Doctor of Medicine (M.D.)

Dr. Melissa Mekesa , MD

Emergency Medicine

NPI 1083908602

Doctor of Medicine (M.D.)

Adam White , PA-C

Physician Assistant

NPI 1104191196

Physician Assistant (Certified)

Dr. Douglas Krejsa , MD

Emergency Medicine

NPI 1104993633

Doctor of Medicine (M.D.)

Dr. Todd Smith , MD

Emergency Medicine

NPI 1124020490

Doctor of Medicine (M.D.)

Carrie Gardner , PA

Physician Assistant

NPI 1174876403

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 29, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2013

Registered at 4750 HEMPSTEAD STATION DR, KETTERING, OH 454295164 (Tel: 8008750136)

📍
Updated Business Mailing Address August 29, 2013

Registered at 3000 HOSPITAL DR, BATAVIA, OH 451031921 (Tel: 5137328200)

👤
Provider Name / Credentials Updated August 29, 2013

Recorded as MICHAEL SHORE, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2013

Nurse Practitioner (License #COA.15057-NP in OH)

🟢
Initial NPI Registration & Enumeration August 29, 2013

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: 1285068940
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2013
Last Update: August 29, 2013
Sole Proprietor: No

Mailing Address

3000 Hospital Dr

Batavia, OH 451031921

Phone: 5137328200

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.