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RICHARD LAWRENCE ASHTON DO
NPI 1124038245
Family Medicine in Plainview, NY

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
5 CLEARWATER DR, PLAINVIEW, NY 11803(516) 455-5843 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Richard Lawrence Ashton Do NPPES

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

RICHARD LAWRENCE ASHTON DO (NPI 1124038245) is an individual family medicine provider in Plainview, New York, licensed in New York (235723) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2001).

NPPES Registry Identity

NPI1124038245
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD LAWRENCE ASHTONCredential: DO
Location Address5 CLEARWATER DRPlainview, NY 11803-6301
Mailing Address5 Clearwater DrPlainview, NY 11803-6301 · (516) 455-5843 · Fax (718) 767-4787
Phone(516) 455-5843
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2001
Enumeration DateAugust 9, 2006
Last NPPES UpdateApril 28, 2020
NPPES CertifiedApril 28, 2020
✔ NPI 1124038245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 235723
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.
5 CLEARWATER DR, Plainview, NY 11803
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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

Richard Lawrence Ashton Do 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 ID3173546157
PECOS Enrollment IDI20060104000925
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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
736 services51 patients
Osteopathic manipulative treatment, 3-4 body regions 98926
Osteopathic Manipulative Treatment (OMT) is a hands-on method where a doctor uses specific techniques to diagnose, treat, and prevent illness or injury. For 3-4 body regions, the doctor focuses on areas like your head, neck, back, or limbs to improve function and promote healing.
112 services34 patients
Osteopathic manipulative treatment, 5-6 body regions 98927
Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose, treat, and prevent illness or injury. In a 5-6 body regions OMT, the doctor applies techniques on those areas to enhance your body's natural healing process.
38 services16 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services31 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
28 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
2 suppliers11 claims11 services$4.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Richard Ashton's NPI number?

The NPI number for Richard Ashton is 1124038245. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Richard Ashton located?

Richard Ashton practices at 5 Clearwater Dr, Plainview, NY 11803. The listed phone number is (516) 455-5843.

What is Richard Ashton's specialty?

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

Is Richard Ashton enrolled in Medicare?

Yes. Richard Ashton 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.

When was this NPI record last updated?

The NPPES record for Richard Ashton was last updated on April 28, 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.