ASHLEY GRIMSHAW MD
NPI 1073994968
Family Medicine in Potsdam, NY

Q: What is Ashley Grimshaw's NPI number?

The NPI number for Ashley Grimshaw is 1073994968. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Q: What is Ashley Grimshaw's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Grimshaw was last updated on September 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 16, 2015PECOS EnrolledAccepts Medicare Assignment

95.38/100

CMS Quality Rating

49 LAWRENCE AVE, POTSDAM, NY 13676(315) 261-5550 Get Directions Write a Review

NPPES record last updated: September 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ashley Grimshaw Md NPPES

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

ASHLEY GRIMSHAW MD (NPI 1073994968) is an individual family medicine provider in Potsdam, New York, licensed in New York (293446) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and is a graduate of State University Of Ny Upstate Medical University (2015).

NPPES Registry Identity

NPI1073994968

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameASHLEY GRIMSHAWCredential: MD

Location Address49 LAWRENCE AVEPotsdam, NY 13676

Mailing Address50 Leroy StPotsdam, NY 13676-1799 · (315) 261-5550

Phone(315) 261-5550

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2015

Enumeration DateJune 16, 2015

Last NPPES UpdateSeptember 4, 2018

✔ NPI 1073994968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 293446

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

49 LAWRENCE AVE, Potsdam, NY 13676

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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

Ashley Grimshaw 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 ID4284984501

PECOS Enrollment IDI20180907001664

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 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.

155 services85 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

111 services111 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.

80 services69 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.

16 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330197

Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County

Emergency services Birthing friendly

Slhs Massena, Inc

Critical Access Hospitals · Massena, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331322

Location1 Hospital DriveMassena, NY 13662 · St. Lawrence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13676 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

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.

95.38/100

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

Scored through an Alternative Payment Model

Quality

81.26

Promoting Interoperability

99.17

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers27 claims51 services$5.55 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers12 claims12 services$23.24 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers18 claims96 services$2.88 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers11 claims11 services$49.01 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers26 claims26 services$107.61 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims660 services$6.59 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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 ABBATEMATTEO MD

Anesthesiology (Pain Medicine)