Doctor profile · Federal record
Dr. Dmitriy Shore, PA-C
Medical Physician Assistant (CMS: Physician Assistant) · Portland, OR
- NPI 1124177902
- Accepts Medicare
- MIPS 67.7 / 100 · 2023
- 26 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
10305 Sw Park Way Ste 300
Portland, OR 972255033
(503) 295-0730
fax (503) 295-0731
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 2000 — 26 yrs since
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- Oregon #PA00724
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124177902. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
950
Distinct HCPCS
6
Medicare allowed
$69,834
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 727 | 149 | $76 | |
87798 |
Detection test by nucleic acid for organism, amplified probe technique | 84 | 12 | $34 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 56 | 42 | $104 | |
80307 |
Testing for presence of drug, by chemistry analyzers | 45 | 32 | $56 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $144 | |
J1040 |
Injection, methylprednisolone acetate, 80 mg | 17 | 13 | $12 |
In context: peer comparison
Among 82 peers in this city , average services per provider: 148. This provider delivers 6.4× the peer median.Open Payments
Industry payments received
All-time total
$1,423
Transactions
68
Manufacturers
11
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 17 | $420.45 | |
| Collegium Pharmaceutical, Inc. | 21 | $272.95 | |
| BIOTRONIK NRO, Inc. | 11 | $221.11 | |
| MML US, Inc. | 6 | $166.79 | |
| Boston Scientific Corporation | 3 | $142.27 | |
| PFIZER INC. | 5 | $91.90 | |
| Merz Pharmaceuticals, LLC | 1 | $34.55 | |
| Azurity Pharmaceuticals, Inc. | 1 | $23.94 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 1 | $22.33 | |
| ConvaTec Inc. | 1 | $13.60 | |
| Abbott Laboratories | 1 | $13.41 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,100
Patients
368
Total drug cost
$74,655
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 509 | 83 | $10,715 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 320 | 57 | $8,745 |
| Pregabalin | Generic | 174 | 27 | $2,589 |
| Gabapentin | Generic | 151 | 39 | $2,994 |
| Cyclobenzaprine Hcl | Generic | 123 | 24 | $905 |
| Morphine Sulfate Er (Morphine Sulfate) | Brand | 123 | 25 | $2,884 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 104 | 21 | $3,615 |
| Tizanidine Hcl | Generic | 104 | 23 | $1,358 |
| Tramadol Hcl | Generic | 85 | 13 | $465 |
| Baclofen | Generic | 84 | 16 | $595 |
Frequently asked questions
What is Dr. Dmitriy Shore's medical specialty?
Dr. Dmitriy Shore practices Medical Physician Assistant in Portland, OR.
Where does Dr. Dmitriy Shore practice?
Dr. Dmitriy Shore practices at 10305 Sw Park Way Ste 300, Portland, OR 972255033. Office phone: 5032950730.
What is Dr. Dmitriy Shore's NPI?
Dr. Dmitriy Shore's National Provider Identifier (NPI) is 1124177902, issued by NPPES.
Does Dr. Dmitriy Shore accept Medicare assignment?
Yes. Dr. Dmitriy Shore accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dmitriy Shore commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Detection test by nucleic acid for organism, amplified probe technique (HCPCS 87798); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.