Benjamin Shore, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD476511 Issued in PA

Practice address

100 Paramount Blvd
Orwigsburg, PA 17961-2202

Phone

(484) 658-5758

Fax

(484) 526-4091

NPI assigned

Apr 5, 2017

Last updated

Aug 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Temple University School of Medicine, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Meadville Medical Center Hospital, Meadville, PA, CCN 390113

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meadville Physician Services

  • Multi-Specialty Clinic/Center
  • Meadville, PA
  • NPI 1619236056

  Surgery

  Medicare reassignment NPD
• Titusville Area Hospital

  • Rural Health Clinic/Center
  • Titusville, PA
  • NPI 1316471212
  Medicare reassignment NPD
• Titusville Area Hospital

  • Surgery Physician
  • Titusville, PA
  • NPI 1811589963
  Medicare reassignment NPD
• Titusville Area Hospital

  • Critical Access Hospital
  • Titusville, PA
  • NPI 1891899332
  Medicare reassignment NPD
• Titusville Area Hospital

  • Audiologist
  • Titusville, PA
  • NPI 1306712104
  NPD
• Meadville Medical Center

  • General Acute Care Hospital
  • Meadville, PA
  • NPI 1942276423
  NPD (past)
• Primary Care Services

  • Internal Medicine Physician
  • Meadville, PA
  • NPI 1962804955
  NPD (past)
• Titusville Area Hospital

  • Rural Health Clinic/Center
  • Oil City, PA
  • NPI 1760976336
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Meadville Medical Center

  • General Acute Care Hospital
  • Meadville, PA
  • NPI 1942276423
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1902339013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARAMOUNT BLVD",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179612202",
            "telephone_number": "484-658-5758",
            "fax_number": "484-526-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARAMOUNT BLVD",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179612202",
            "telephone_number": "484-658-5758",
            "fax_number": "484-526-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD476511",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean M Scott, PT
• Senior Living Ventures, Inc. (Orwigsburg Center)
• Seton Manor SNF LLC (Seton Manor Nursing and Rehabilitation Center)
• Seton Manor, Inc
• Bahman Sholevar, MD
• Carl Anthony Shrom, PT
• Lewis J. Sims, DO
• Amy Slovick
• SM Rehab & Nursing Center LLC (Seton Manor Nursing and Rehabilitation Center)
• Shannon Maria Smith, COTA/L

• Surgery Physician in Orwigsburg, PA
• Providers in Orwigsburg, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.