DAVID SHROCK (PA-C) – Physician Assistant, NPI 1104288679

DAVID SHROCK (PA-C) is a healthcare provider. based in Roanoke, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1234567890 (VA). The NPI Number for DAVID SHROCK (PA-C) is 1104288679

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DAVID SHROCK (PA-C)
NPI
1104288679
Phone
(540) 981-7000
Address
1906 Belleview Ave SE
Enumeration Date
24 March 2016
Last Update Date
9 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6012002000
Graduation Year
2015 (11 years ago)
PAC ID
1759673098
Group Practice PAC ID
0547791873
Professional Enrollment ID
I20170724003235
Address ID
MS392164606JA969XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for DAVID SHROCK (PA-C)

  • 1906 Belleview Ave SE

    Roanoke, VA 240141838

    Phone: (540) 981-7000

    Type: Location

  • PO BOX 23666

    JACKSON, MS 392253666

    Phone:

    Type: Mailing

  • 1906 BELLEVIEW AVE SE

    ROANOKE, VA 240141838

    Phone: (540) 981-7000

    Type: Location

  • 5959 S SHERWOOD FOREST BLVD

    BATON ROUGE, LA 708166038

    Phone: (601) 200-4644

    Fax: (225) 765-9196

    Type: Mailing

  • 971 LAKELAND DR STE 356

    JACKSON, MS 392164607

    Phone: (601) 200-4644

    Fax: (601) 200-4645

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $1,055.

Total Amount is formed as General ($1,055) + Research ($0) + Ownership ($0) = $1,055.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: PFIZER INC. ($243).

Total Amount

$1,055

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,055

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-07-24

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
I20170724003235IPhysician AssistantMSTBD

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
99239Hospital discharge day management, more than 30 minutes372360$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes328203$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes267210$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes116115$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2918$0
View full utilization report →

Insurance plans in this area (ZIP 24014)

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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: 0547791873View full group profile
NameSpecialtyState
Nurse PractitionerMS
Internal MedicineMS
Internal MedicineMS
Hospitalist, Internal MedicineMS
Internal MedicineMS
Internal MedicineMS
Hospitalist, Internal MedicineMS
Internal MedicineAL
Internal MedicineSC
Internal MedicineMS

Reviews

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Frequently asked questions

What is the registry number for DAVID SHROCK (PA-C)?
The registry entry for DAVID SHROCK (PA-C) shows NPI 1104288679.
Is DAVID SHROCK (PA-C)'s NPI status active today?
Active status means DAVID SHROCK (PA-C)'s NPI record is not deactivated in the public file.
How should patients interpret DAVID SHROCK (PA-C)'s specialty?
The extract shows Physician Assistant for DAVID SHROCK (PA-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DAVID SHROCK (PA-C)?
DAVID SHROCK (PA-C) is associated with Roanoke, Virginia in the same public data insurers reference.
Can I export DAVID SHROCK (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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