ASHLEY MCGAUGHY
NPI 1124688239
Nurse Practitioner - Gerontology in Columbus, OH

Active since June 20, 2019PECOS EnrolledAccepts Medicare Assignment
75.15/100
CMS Quality Rating
85 MCNAUGHTEN RD STE 110, COLUMBUS, OH 43213(614) 751-8846(614) 751-8894 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2019, Jun 20, 2019 (2 updates tracked since 2019).

About Ashley Mcgaughy NPPES

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

ASHLEY MCGAUGHY (NPI 1124688239) is an individual gerontology provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.025117) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124688239
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameASHLEY MCGAUGHY
Location Address85 MCNAUGHTEN RD STE 110Columbus, OH 43213-5111
Mailing Address85 Mcnaughten Rd Ste 110Columbus, OH 43213-5111 · (614) 751-8846 · Fax (614) 751-8894
Fax(614) 751-8894
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 20, 2019
Last NPPES UpdateAugust 5, 20192 updates tracked since enumeration
NPI 1124688239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in OH · APRN.CNP.025117
85 MCNAUGHTEN RD STE 110, Columbus, OH 43213

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

Ashley Mcgaughy 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 ID3779811476
PECOS Enrollment IDI20190819004004
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 2

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.
49 services48 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

75.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.24
Promoting Interoperability78
Improvement Activities40
Cost59.25

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Acute Care)
85 MCNAUGHTEN RD STE 110
COLUMBUS, OH 43213
Thoracic Surgery (Cardiothoracic Vascular Surgery)
85 MCNAUGHTEN RD STE 110
COLUMBUS, OH 43213
Nurse Practitioner (Family)
85 MCNAUGHTEN RD STE 110
COLUMBUS, OH 43213
Internal Medicine
85 MCNAUGHTEN RD STE 110
COLUMBUS, OH 43213
Physician Assistant
85 MCNAUGHTEN RD STE 110
COLUMBUS, OH 43213
Thoracic Surgery (Cardiothoracic Vascular Surgery)
85 MCNAUGHTEN RD STE 110
COLUMBUS, OH 43213
Physician Assistant
85 MCNAUGHTEN RD STE 110
COLUMBUS, OH 43213
Physician Assistant
85 MCNAUGHTEN RD STE 110
COLUMBUS, OH 43213

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 Ashley Mcgaughy's NPI number?

The NPI number for Ashley Mcgaughy is 1124688239. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Ashley Mcgaughy located?

Ashley Mcgaughy practices at 85 Mcnaughten Rd Ste 110, Columbus, OH 43213. The listed phone number is (614) 751-8846.

What is Ashley Mcgaughy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Ashley Mcgaughy enrolled in Medicare?

Yes. Ashley Mcgaughy 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 Ashley Mcgaughy accept?

Health plans from Antidote Health Plan of Ohio, Inc., Oscar Health Insurance and UnitedHealthcare list Ashley Mcgaughy 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 Ashley Mcgaughy affiliated with any hospitals?

According to CMS data, Ashley Mcgaughy is affiliated with Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Ashley Mcgaughy was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.