ANDREW CARL SHORE – Internal Medicine Physician, NPI 1174028120

ANDREW CARL SHORE is a healthcare provider. based in Riverside, Missouri. specializing in INTERNAL MEDICINE. They hold a License No. 2022027327 (MO). The NPI Number for ANDREW CARL SHORE is 1174028120

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW CARL SHORE
NPI
1174028120
Phone
(816) 599-5050
Address
2906 NW VIVION RD
Enumeration Date
29 March 2018
Last Update Date
8 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2813424530
Graduation Year
2018 (8 years ago)
PAC ID
9335497122
Group Practice PAC ID
7113999780
Professional Enrollment ID
I20230920000114
Address ID
TX774694406RI400XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

Provider Addresses for ANDREW CARL SHORE

  • 2906 NW VIVION RD

    RIVERSIDE, MO 641501502

    Phone: (816) 599-5050

    Type: Location

  • Truman Medical Center, Hospital Hill, 2301, Holmes Street, Hospital Hill, Kansas City, Jackson County, Missouri, 64108, United States

    KANSAS CITY, MO 641082640

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230920000114IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2013$0
View full utilization report →

Insurance plans in this area (ZIP 64150)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113999780View full group profile
NameSpecialtyState
General PracticeTX
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Clinical Social WorkerOH
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerAZ
-TX

Reviews

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Frequently asked questions

Is ANDREW CARL SHORE listed with a National Provider Identifier?
Yes — ANDREW CARL SHORE has NPI 1174028120 on file in the registry.
Would ANDREW CARL SHORE appear as active to a payer?
You can treat ANDREW CARL SHORE as active for directory purposes; confirm clinical privileges separately.
How would a patient describe ANDREW CARL SHORE's focus?
For ANDREW CARL SHORE, the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ANDREW CARL SHORE associated with Riverside?
Public fields place ANDREW CARL SHORE around Riverside, Missouri. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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