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MARK ASHBY MD
NPI 1063417616
Psychiatry & Neurology - Psychiatry in Sebring, FL

Active since June 20, 2005PECOS Enrolled
75/100
CMS Quality Rating
2821 ALT US HWY 27 S, SEBRING, FL 33870(863) 382-3914(863) 451-5569 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark Ashby Md NPPES

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

MARK ASHBY MD (NPI 1063417616) is an individual psychiatry provider in Sebring, Florida, licensed in Florida (ME53160) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (1985).

NPPES Registry Identity

NPI1063417616
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMARK ASHBYCredential: MD
Location Address2821 ALT US HWY 27 SSebring, FL 33870-4972
Mailing Address2821 Alt Us Hwy 27 SSebring, FL 33870-4972 · (863) 382-3914 · Fax (863) 402-0700
Phone(863) 382-3914
Fax(863) 451-5569
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1985
Enumeration DateJune 20, 2005
Last NPPES UpdateMarch 4, 2020
NPPES CertifiedMarch 4, 2020
✔ NPI 1063417616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · ME53160
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2821 ALT US HWY 27 S, Sebring, FL 33870
Open in Google Maps ↗

Other Identifiers 1

Medicaid3719014-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Ashby Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143394163
PECOS Enrollment IDI20080808000185
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 Mark Ashby reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mark A Ashby MD PA
4.0 mi
Psychiatry
2821 ALTERNATE US HWY 27 S
Sebring, FL 33870
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1942458955 (863) 382-3914
Central Florida Neuropsychology, LLC
6.3 mi
Clinical Neuropsychologist
4646 NADENA DR
Sebring, FL 33872
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1235375387 (866) 448-1965

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 5

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 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.
688 services297 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
353 services29 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
118 services65 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.
91 services64 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33870 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 4

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

JOHN A. MCNEAL, LLC
Clinic/Center (Adult Mental Health)
2821 ALT US HWY 27 S
SEBRING, FL 33870
Highlands County (863) 382-3914
MR. JOHN AARON MCNEAL LCSW
Social Worker (Clinical)
2821 ALT US HWY 27 S
SEBRING, FL 33870
Highlands County (863) 382-3914
MARY LOUISE HUDSON RAY ARNP
Nurse Practitioner (Psychiatric/Mental Health)
2821 ALT US HWY 27 S
SEBRING, FL 33870
Highlands County (863) 385-6374
MARI D TASCA, LCSW, ACSW, L.L.C.
Social Worker (Clinical)
2821 ALT US HWY 27 S
SEBRING, FL 33870
Highlands County (863) 382-3919

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 Mark Ashby's NPI number?

The NPI number for Mark Ashby is 1063417616. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Mark Ashby located?

Mark Ashby practices at 2821 Alt Us Hwy 27 S, Sebring, FL 33870. The listed phone number is (863) 382-3914.

What is Mark Ashby's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mark Ashby enrolled in Medicare?

Yes. Mark Ashby is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Ashby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Ashby reassigns Medicare benefits to 2 organizations: Mark A Ashby MD PA (Sebring, FL) and Central Florida Neuropsychology, LLC (Sebring, FL). 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 Mark Ashby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Ashby accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Ashby was last updated on March 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.