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Mr. Brian Neal Shore

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NPI Number Detailed Information

Provider Information:

Name: Mr. Brian Neal Shore
Gender: M
Provider License Number If Given: 85002428

NPI Information:

NPI: 1376544585
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/10/2005

Last Update Date: 3/17/2015

Provider Business Mailing Address:

Address: 101 W UNIVERSITY AVE
Champaign, IL 61820
Phone Number: 2173668107
Fax Number:

Provider Business Practice Location Address:

Address: 2110 FOX DR
Champaign, IL 61820
Phone Number: 2173661237
Fax Number:

Provider Taxonomy:

Primary: 363A00000X
Secondary (if any):
State: IL

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About Mr. Brian Neal Shore

Mr. Brian Neal Shore (MR. BRIAN NEAL SHORE ) is A Physician Assistant Physician in Champaign, IL. The NPI Number for Mr. Brian Neal Shore is 1376544585.
The current location address for Mr. Brian Neal Shore is 2110 FOX DR Champaign, IL 61820 and the contact number is 2173668107 and fax number is . The mailing address for Mr. Brian Neal Shore is 101 W UNIVERSITY AVE Champaign, IL 61820- 2173661237 (mailing address contact number - 2173668107).
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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mr. Brian Neal Shore ?


Answer: The NPI Number for Mr. Brian Neal Shore is 1376544585

Where is Mr. Brian Neal Shore located?


Answer: Mr. Brian Neal Shore is located at 2110 FOX DR Champaign, IL 61820.

What is the specialty for Mr. Brian Neal Shore ?


Answer: The Specialty of Mr. Brian Neal Shore is A Physician Assistant Physician.

Are there any online reviews for Mr. Brian Neal Shore ?


Answer: Not yet!

Are there any other health care providers in Champaign, IL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Mr. Brian Neal Shore

Number of HCPCS 51
Number of Medicare Beneficiaries 299
Number of Services 1437
Total Submitted Charge Amount 314796.58
Total Medicare Allowed Amount 76911.83
Total Medicare Payment Amount 56164.44
Total Medicare Standardized Payment Amount 56309.72
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 2
Number of Medicare Beneficiaries With Drug Services 101
Number of Drug Services 307
Total Drug Submitted Charge Amount 46570
Total Drug Medicare Allowed Amount 8837.39
Total Drug Medicare Payment Amount 7018.94
Total Drug Medicare Standardized Payment Amount 6951.39
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 49
Number of Medicare Beneficiaries With Medical 299
Number of Medical Services 1130
Total Medical Submitted Charge Amount 268226.58
Total Medical Medicare Allowed Amount 68074.44
Total Medical Medicare Payment Amount 49145.5
Total Medical Medicare Standardized Payment Amount 49358.33
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 24
Number of Beneficiaries Age 65 to 74 155
Number of Beneficiaries Age 75 to 84 81
Number of Beneficiaries Age Greater 84 39
Number of Female Beneficiaries 192
Number of Male Beneficiaries 107
Number of Non-Hispanic White Beneficiaries 281
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 32
Number of Beneficiaries With Medicare Only Entitlement 267
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.11
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.07
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.09
Percent (%) of Beneficiaries Identified With Heart Failure 0.15
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.33
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.11
Percent (%) of Beneficiaries Identified With Depression 0.24
Percent (%) of Beneficiaries Identified With Diabetes 0.24
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.6
Percent (%) of Beneficiaries Identified With Hypertension 0.65
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.32
Percent (%) of Beneficiaries Identified With Osteoporosis 0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.05
Average HCC Risk Score of Beneficiaries 0.9034

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Physician Assistant
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 120
Number of Standardized 30-Day Fills 127.1
Aggregate Cost Paid for All Claims 985.19
Number of Day's Supply for All Claims 1301
Number of Medicare Beneficiaries 80
Number of Claims, Including Refills, for Beneficiaries Age 65+ 99
Including Refills, for Beneficiaries Age 65+ 104
Beneficiaries Age 65+ 804.4
Number of Day's Supply for All Claims for Beneficaries Age 65+ 1020
Number of Medicare Beneficiaries Age 65+ 68
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 119
Aggregate Cost Paid for Generic Drugs 979.84
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 32
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 199.17
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 88
Aggregate Cost Paid for Claims Filled by 786.02
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 28
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 254.52
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 92
by Low-Income Subsidy 730.67
Total Claims of Opioid Drugs, Including 95
Aggregate Cost Paid for Opioid Drugs 747.52
Opioid Claims 65
Opioid_Tot_Clms divided by the Tot_Clms 79.166666667
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 71.6625
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 37
Number of Beneficiaries Age 75 to 84 27
Number of Female Beneficiaries 62
Number of Male Beneficiaries 18
Number of Non-Hispanic White 68
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 65
Average Hierarchical Condition Category 1.0481199464

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Mr. Brian Neal Shore in Other Directories

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