WILLIAM ASHBY PA
NPI 1063958015
Physician Assistant in Raleigh, NC

Active since January 15, 2017PECOS EnrolledAccepts Medicare Assignment
65.58/100
CMS Quality Rating
5838 SIX FORKS RD, SUITE 100, RALEIGH, NC 27609(919) 785-3400 Get Directions Write a Review

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

About William Ashby Pa NPPES

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

WILLIAM ASHBY PA (NPI 1063958015) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-06968) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1063958015
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWILLIAM ASHBYCredential: PA
Location Address5838 SIX FORKS RD, SUITE 100Raleigh, NC 27609-3885
Mailing Address5838 Six Forks Rd, Suite 100Raleigh, NC 27609-3885 · (919) 785-3400
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 15, 2017
NPI 1063958015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-06968
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5838 SIX FORKS RD, Raleigh, NC 27609

Accepted 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

William Ashby Pa 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 ID6800171190
PECOS Enrollment IDI20170329001403
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

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.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

65.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.35
Promoting Interoperability100
Improvement Activities40
Cost37.94

Other Providers at the Same Location NPPES 17

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

Physician Assistant
5838 SIX FORKS RD, SUITE 100
RALEIGH, NC 27609
Physician Assistant
5838 SIX FORKS RD
RALEIGH, NC 27609
Physician Assistant
5838 SIX FORKS RD, SUITE 100
RALEIGH, NC 27609
Physician Assistant (Surgical)
5838 SIX FORKS RD, SUITE #100
RALEIGH, NC 27609
Physical Therapist
5838 SIX FORKS RD
RALEIGH, NC 27609
Neurological Surgery
5838 SIX FORKS RD, SUITE 100
RALEIGH, NC 27609
Neurological Surgery
5838 SIX FORKS RD, SUITE 100
RALEIGH, NC 27609
Physical Therapist (Orthopedic)
5838 SIX FORKS RD, SUITE 300
RALEIGH, NC 27609

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 William Ashby's NPI number?

The NPI number for William Ashby is 1063958015. It was assigned to this individual provider in the NPPES registry on January 15, 2017.

Where is William Ashby located?

William Ashby practices at 5838 Six Forks Rd Suite 100, Raleigh, NC 27609. The listed phone number is (919) 785-3400.

What is William Ashby's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is William Ashby enrolled in Medicare?

Yes. William 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.

What insurance does William Ashby accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list William 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 William Ashby affiliated with any hospitals?

According to CMS data, William Ashby is affiliated with Wakemed, Raleigh Campus, Rex Hospital and Providence St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for William Ashby was last updated on January 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.