ASHLEA SEMMENS MD
NPI 1023548633
Surgery in Des Moines, IA

Q: What is Ashlea Semmens's NPI number?

The NPI number for Ashlea Semmens is 1023548633. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Q: What is Ashlea Semmens's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Ashlea Semmens was last updated on June 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 15, 2017PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

1415 WOODLAND AVE, STE 140, DES MOINES, IA 50309(515) 241-4076 Get Directions Write a Review

NPPES record last updated: June 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ashlea Semmens Md NPPES

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

ASHLEA SEMMENS MD (NPI 1023548633) is an individual surgery provider in Des Moines, Iowa, licensed in Iowa (R-11004) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of University Of Washington School Of Medicine (2017).

NPPES Registry Identity

NPI1023548633

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameASHLEA SEMMENSCredential: MD

Location Address1415 WOODLAND AVE, STE 140Des Moines, IA 50309

Mailing Address1415 Woodland Ave Ste 140Des Moines, IA 50309-3203

Phone(515) 241-4076

Sole ProprietorYes

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2017

Enumeration DateJune 15, 2017

✔ NPI 1023548633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IA · R-11004

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1415 WOODLAND AVE, Des Moines, IA 50309

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Oscar Insurance Company, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashlea Semmens Md 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 ID5890063556

PECOS Enrollment IDI20230608001370

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.

Areas of Expertise CMS Part B claims 13

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

66 services66 patients

X-ray of surgical specimen 76098

An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.

57 services57 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

41 services37 patients

Biopsy or removal of deep lymph nodes of underarm 38525

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

40 services40 patients

Imaging of lymph nodes during surgery 38900

Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.

39 services39 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

33 services27 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

31 services28 patients

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.

25 services22 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

25 services24 patients

Placement of locating device in breast using ultrasound guidance, first growth 19285

This procedure involves inserting a small locating device into the breast tissue using ultrasound. The device helps accurately mark the position of the first growth. This aids in precise treatment planning. It's a non-invasive process with minimal discomfort.

23 services23 patients

Simple complete removal of breast 19303

This procedure involves the total removal of breast tissue. It's typically done to treat or prevent conditions like cancer. The operation involves an incision on the skin, removal of the tissue, and closure of the wound. Post-surgery, care and recovery plans are provided.

22 services22 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

12 services11 patients

Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm 14001

This procedure involves treating a wound on the body by moving skin from one area to another. The transferred skin, ranging from 10.1-30.0 sq cm, helps cover and heal the wound. It's a common way to promote healing for large or deep wounds.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430077

Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County

Emergency services Birthing friendly

Same Day Surgery Center LLC

Acute Care Hospitals · Rapid City, SD

OwnershipProprietary

CMS Certification Number430093

Location651 Cathedral DriveRapid City, SD 57701 · Pennington County

Monument Health Sturgis Hospital

Critical Access Hospitals · Sturgis, SD

OwnershipVoluntary non-profit - Other

CMS Certification Number431321

Location2140 Junction AveSturgis, SD 57785 · Meade County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

DAVID JOHN MASSOP MD

Ophthalmology (Retina Specialist)

1415 WOODLAND AVE, SUITE 140
DES MOINES, IA 50309

Polk County (515) 241-8595

JULIA MAUREEN GUTSCH DO

Internal Medicine

1415 WOODLAND AVE
DES MOINES, IA 50309

Polk County (515) 241-6638

RATNA CHARISHMA BOPPANA MBBS

Internal Medicine

1415 WOODLAND AVE, SUITE 140
DES MOINES, IA 50309

Polk County (515) 241-5995

DAMON DEMARS DO

Internal Medicine

1415 WOODLAND AVE, SUITE 140
DES MOINES, IA 50309

Polk County (515) 241-5995

KATRINA ALMEIDA D.P.M.

Podiatrist

1415 WOODLAND AVE, SUITE 140
DES MOINES, IA 50309

Polk County (515) 241-4076

LINDSAY STAUDT DO

Internal Medicine

1415 WOODLAND AVE
DES MOINES, IA 50309

Polk County (319) 404-7014

CANDICE SCHLAFMANN D.O.

Internal Medicine

1415 WOODLAND AVE, SUITE 140
DES MOINES, IA 50309

Polk County (515) 241-5995

JOSHUA HAGEDORN MD

Internal Medicine

1415 WOODLAND AVE
DES MOINES, IA 50309

Polk County (515) 241-6636

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 Ashlea Semmens's NPI number?

The NPI number for Ashlea Semmens is 1023548633. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Ashlea Semmens located?

Ashlea Semmens practices at 1415 Woodland Ave Ste 140, Des Moines, IA 50309. The listed phone number is (515) 241-4076.

What is Ashlea Semmens's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ashlea Semmens enrolled in Medicare?

Yes. Ashlea Semmens 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.

What insurance does Ashlea Semmens accept?

Health plans from Avera Health Plans, Oscar Insurance Company and Sanford Health Plan list Ashlea Semmens 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 Ashlea Semmens affiliated with any hospitals?

According to CMS data, Ashlea Semmens is affiliated with Monument Health Rapid City Hospital, Same Day Surgery Center LLC and Monument Health Sturgis Hospital.

When was this NPI record last updated?

The NPPES record for Ashlea Semmens was last updated on June 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.