CASEY ASHBY D.O.
NPI 1003055971
Otolaryngology - Facial Plastic Surgery in Farmington Hills, MI

Active since February 16, 2009PECOS EnrolledAccepts Medicare Assignment
95.34/100
CMS Quality Rating
28080 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336(248) 471-8000 Get Directions Write a Review

NPPES record last updated: February 16, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Casey Ashby D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASEY ASHBY D.O. (NPI 1003055971) is an individual facial plastic surgery provider in Farmington Hills, Michigan, licensed in Michigan (5315032060) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2007).

NPPES Registry Identity

NPI1003055971
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameCASEY ASHBYCredential: D.O.
Location Address28080 GRAND RIVER AVEFarmington Hills, MI 48336-5966
Mailing Address650 Shasta PlFerndale, MI 48220-2333
Sole ProprietorYes
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2007
Enumeration DateFebruary 16, 2009
✔ NPI 1003055971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in MI · 5315032060
Definition
An otolaryngologist who specializes in facial plastic surgery.
28080 GRAND RIVER AVE, Farmington Hills, MI 48336

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Casey Ashby D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002064862
PECOS Enrollment IDI20120919000819, I20251122001537
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Casey Ashby reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
1052 GULL RD
Kalamazoo, MI 49048
  • Reassigned Medicare billing, Michigan enrollment
  • 13 clinicians in this Medicare group
Internal Medicine
155 WELLNESS WAY
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 393 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
243 services182 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
103 services103 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
56 services47 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
50 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
26 services22 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.53
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
100%25 patients5/55-star benchmark: 100%
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
10%80 patients
Breast Cancer Screening
57%410 patients3/55-star benchmark: 93%
Cervical Cancer Screening
52%373 patients3/55-star benchmark: 98%
Childhood Immunization Status
58%43 patients
Chlamydia Screening for Women
32%34 patients
Closing the Referral Loop: Receipt of Specialist Report
31%782 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
66%970 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
68%434 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
43%147 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
33%147 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,279 patients5/55-star benchmark: 100%
e-Prescribing
98%1,430 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
62%782 patients3/55-star benchmark: 100%
HIV Screening
26%1,054 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%1,698 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
32%1,291 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%1,589 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 90% · 545 patients
Patients screened: 98% · 545 patients
23%56 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%2,460 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%508 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 8% · 799 patients
Patients totalRate: 12% · 799 patients
12%799 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
28080 GRAND RIVER AVE, SUITE 306
FARMINGTON HILLS, MI 48336
Internal Medicine (Gastroenterology)
28080 GRAND RIVER AVE, SUITE 306
FARMINGTON HILLS, MI 48336
Internal Medicine (Cardiovascular Disease)
28080 GRAND RIVER AVE, SUITE 300W
FARMINGTON HILLS, MI 48336
Surgery
28080 GRAND RIVER AVE, SUITE 204 N
FARMINGTON HILLS, MI 48336
Thoracic Surgery (Cardiothoracic Vascular Surgery)
28080 GRAND RIVER AVE, 208 N
FARMINGTON HILLS, MI 48336
Internal Medicine (Geriatric Medicine)
28080 GRAND RIVER AVE, SUITE 306
FARMINGTON HILLS, MI 48336
Podiatrist (Foot & Ankle Surgery)
28080 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Surgery
28080 GRAND RIVER AVE, SUITE 204 N
FARMINGTON HILLS, MI 48336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casey Ashby's NPI number?

The NPI number for Casey Ashby is 1003055971. It was assigned to this individual provider in the NPPES registry on February 16, 2009.

Where is Casey Ashby located?

Casey Ashby practices at 28080 Grand River Ave, Farmington Hills, MI 48336. The listed phone number is (248) 471-8000.

What is Casey Ashby's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Casey Ashby enrolled in Medicare?

Yes. Casey Ashby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Casey Ashby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Casey Ashby reassigns Medicare benefits to 2 organizations: Paragon Health, PC (Kalamazoo, MI) and Mount Nittany Medical Center Health Services Inc (State College, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Casey Ashby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Casey Ashby accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Casey Ashby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Casey Ashby affiliated with any hospitals?

According to CMS data, Casey Ashby is affiliated with Bronson Methodist Hospital, Bronson Battle Creek Hospital, Borgess Medical Center and Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Casey Ashby was last updated on February 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.